MEDICARE: ASTHMA AND RESPIRATORY CONSULTANTS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CH4033	OTHER	TX	RR MEDICARE DALLAS GROUP
3	CE7287	OTHER	TX	RR MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528035177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTHMA AND RESPIRATORY CONSULTANTS PA

Provider Business Mailing Address
First Line	:	PO BOX 803282
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75380-3282
Country	:	US
Telephone Number	:	972-385-2266
Fax Number	:	972-991-2266

Provider Business Practice Location Address
First Line	:	6805 WOODMARK CT
Second Line	:	SUITE A
City	:	DALLAS
State	:	TX
Zip	:	75230-1928
Country	:	US
Telephone Number	:	972-385-2266
Fax Number	:	972-991-2266

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. LYN B. SCHNEIDER
Credential	:
Telephone Number	:	972-385-2266

Provider Enumeration Date	:	03/02/2006
Last Update Date	:	07/01/2010

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Directions to “ASTHMA AND RESPIRATORY CONSULTANTS PA ” Practice Location

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