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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 ASSOCIATES,PA

NPI Number 1619008083
LBN Legal business name GREENVILLE PULMONARY ASSOCIATES,PA
Authorized official MOHAN PHILIP - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2007
Last updated 06/30/2008 - About 18 years ago
Identifiers
TX License # L7111
TX Medicaid 1616351-01
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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