Organization
CLINIC OF PULMONARY SLEEP AND HEALTHY AGING, P.A.
Active
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
Update your record
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