MEDICARE: THE LUNG CONSULTANTS LLC

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	M3759	TX

General Provider Information

NPI Number	:	1629581467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE LUNG CONSULTANTS LLC

Provider Business Mailing Address
First Line	:	1403 EXETER CT
Second Line	:
City	:	SOUTHLAKE
State	:	TX
Zip	:	76092-4219
Country	:	US
Telephone Number	:	267-481-4452
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 PENNSYLVANIA AVE STE 370
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-2110
Country	:	US
Telephone Number	:	817-778-0777
Fax Number	:	817-479-9082

Authorized Official
Title or Position	:	OWNER
Name	:	HARPREET SINGH SURI
Credential	:	MD
Telephone Number	:	267-481-4452

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	10/11/2018

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Directions to “THE LUNG CONSULTANTS LLC ” Practice Location

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