Organization
CONSULTANTS IN LUNGS AND CRITICAL CARE LLC
Active
Organization
CONSULTANTS IN LUNGS AND CRITICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARPREET SURI MD (OWNER)
(817) 421-3949
Entity
Organization
Contact information
Practice address
2301 S FM 51 STE 300, DECATUR, TX 76234-3864
(409) 627-1435
(940) 627-1453
Mailing address
PO BOX 93505, SOUTHLAKE, TX 76092-0114
(940) 627-1435
(940) 627-1453
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M3759
TX
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181190303
—
TX
05
—
382928501
—
TX
01
—
8JD305
BCBSTX - WCCA
TX
Enumeration date
01/10/2018
Last updated
06/20/2019
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