Organization
PULMONARY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAIRE M CLARK (OFFICE MANAGER)
(210) 692-9400
Entity
Organization
Contact information
Practice address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Mailing address
4410 MEDICAL DR, SUITE 440, SAN ANTONIO, TX 78229-6306
(210) 692-9400
(210) 692-9601
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E4177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005RF
BLUE CROSS
TX
05
—
110202205
—
TX
05
—
196624401
—
TX
Enumeration date
07/08/2006
Last updated
05/10/2011
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