MEDICARE: TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician
3	207RP1001X	Pulmonary Disease Physician

General Provider Information

NPI Number	:	1871004473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA

Provider Business Mailing Address
First Line	:	601 OMEGA DR STE 206
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-2075
Country	:	US
Telephone Number	:	817-465-5881
Fax Number	:	817-394-6294

Provider Business Practice Location Address
First Line	:	7557 RAMBLER RD STE 730
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75231-2405
Country	:	US
Telephone Number	:	817-461-0201
Fax Number	:	817-861-3365

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	KERIM F RAZACK
Credential	:	MD
Telephone Number	:	817-465-5881

Provider Enumeration Date	:	10/23/2017
Last Update Date	:	10/23/2017

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