Organization
MEMORIAL PULMONOLOGY PA
Active
Organization
MEMORIAL PULMONOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLI N KRASKO MD (DIRECTOR)
(832) 325-1200
Entity
Organization
Contact information
Practice address
10837 KATY FWY, SUITE 100, HOUSTON, TX 77079-2207
(832) 325-1200
(713) 984-8260
Mailing address
10837 KATY FWY, SUITE 100, HOUSTON, TX 77079-2207
(832) 325-1200
(713) 984-8260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7782
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
L7782
TX
207RP1001X
Pulmonary Disease Physician
Primary
L7782
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178025601
—
TX
Enumeration date
02/01/2008
Last updated
04/24/2014
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