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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