Total Lung Center, INC.
Family Medicine, Geriatric Medicine in Fort Worth, TX. Organization (NPI-2).
NPI number1760625529
StatusActive
Last updated in NPPESApr 9, 2009
Details
- NPI
- 1760625529
- Entity type
- Organization (NPI-2)
- Legal business name
- Total Lung Center, INC.
- Organization subpart
- No
- Enumeration date
- Apr 9, 2009
- Last updated
- Apr 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QG0300X | Family Medicine, Geriatric Medicine | K7206 | TX | Yes |
Practice location
1600 E Rosedale StFort Worth, TX 76104-5637
Phone 281-948-2845 · Fax 800-996-5298
Mailing address
17222 Kendall Ridge LnHouston, TX 77095-5199
Phone 281-948-2845 · Fax 800-996-5298
Authorized official
Maria Sheppard
President
2819482845
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