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Organization

GREENVILLE PULMONARY ASSOCIATES,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAN PARAYIL PHILIP MD (PHYSICIAN)
(903) 454-9976
Entity
Organization

Contact information

Practice address
4221 RIDGECREST RD, STE 107, GREENVILLE, TX 75402-6005
(903) 454-9976
(903) 454-4509
Mailing address
4221 RIDGECREST RD, STE 107, GREENVILLE, TX 75402-6005
(903) 454-9976
(903) 454-4509

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
L7111
TX
207RP1001X
Pulmonary Disease Physician
L7111
TX
207RS0012X
Sleep Medicine (Internal Medicine) Physician
L7111
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1616351-01
TX
Enumeration date
03/08/2007
Last updated
06/30/2008
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