Organization
PULMONARY AND CRITICAL CARE NETWORK LLC
Active
Other names
PCCN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YOUSEF KAYYAS MD (OWNER)
(972) 288-3471
Entity
Organization
Contact information
Practice address
1611 N BELT LINE RD, STE C, MESQUITE, TX 75149-1793
(972) 288-3471
(972) 288-7445
Mailing address
1611 N BELT LINE RD, STE C, MESQUITE, TX 75149-1793
(972) 288-3471
(972) 288-7445
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
K9004
TX
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047594903
—
TX
Enumeration date
07/27/2016
Last updated
04/15/2024
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