Organization
TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
Active
Organization
TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERIM F RAZACK MD (PHYSICIAN SHAREHOLDER)
(817) 335-5288
Entity
Organization
Contact information
Practice address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Mailing address
1201 FAIRMOUNT AVE, FORT WORTH, TX 76104-4215
(817) 335-5288
(817) 338-0927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083023401
—
TX
Enumeration date
11/07/2006
Last updated
01/17/2024
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