Organization
PULMCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAVANYA SRINIVASAN MD (OWNER)
(312) 731-8335
Entity
Organization
Contact information
Practice address
1001 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2228
(312) 731-8335
(682) 207-1030
Mailing address
514 TIMBER LAKE DR, SOUTHLAKE, TX 76092-7204
(817) 290-2239
(682) 207-1030
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
10/08/2024
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