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Organization

CLINIC OF PULMONARY SLEEP AND HEALTHY AGING, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GUSTAVO FERREIRA M.D. (PRESIDENT)
(830) 480-5133
Entity
Organization

Contact information

Practice address
220 W GOODWIN ST STE B, PLEASANTON, TX 78064-4119
(830) 480-5133
(830) 480-5144
Mailing address
PO BOX 1051, PLEASANTON, TX 78064-1041
(830) 480-5133
(830) 480-5144

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
K9525
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00Q89H
BCBS
TX
Enumeration date
02/14/2018
Last updated
06/01/2022
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