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NPI Code Detail

MEDICARE: PULMONARY CARE INC

MEDICARE: PULMONARY CARE INC
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
13336H0001XHome Infusion Therapy Pharmacy
23336M0002XMail Order Pharmacy
33336C0003XCommunity/Retail Pharmacy18749TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24504432OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1770599318
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULMONARY CARE INC
Provider Business Mailing Address
First Line : 3505 S DAIRY ASHFORD ST
Second Line : STE 185
City : HOUSTON
State : TX
Zip : 77082-5513
Country : US
Telephone Number : 281-679-0877
Fax Number : 281-679-0879
Provider Business Practice Location Address
First Line : 3505 S DAIRY ASHFORD ST
Second Line : STE 185
City : HOUSTON
State : TX
Zip : 77082-5513
Country : US
Telephone Number : 281-679-0877
Fax Number : 281-679-0879
Authorized Official
Title or Position : VP
Name : KHADER SAQR
Credential :
Telephone Number : 281-679-0877
Provider Enumeration Date : 08/01/2006
Last Update Date : 09/29/2009

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Directions to “PULMONARY CARE INC ” Practice Location

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