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Contact Information

GREENVILLE PULMONARY ASSOCIATES,PA
4221 RIDGECREST RD
STE 107
GREENVILLE, TX75402-6005
 Phone: 903-454-9976
 Fax: 903-454-4509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GREENVILLE PULMONARY ASSOCIATESPA · (Female)

NPI # 1619008083
Status Active
Credentials
Entity Individual
Enumeration date 03/08/2007
Last updated 06/30/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # L7111
  • TX Medicaid 1616351-01
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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