Organization
TOTAL LUNG CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA SHEPPARD M.D. (PRESIDENT)
(281) 948-2845
Entity
Organization
Contact information
Practice address
1600 E ROSEDALE ST, FORT WORTH, TX 76104-5637
(281) 948-2845
(800) 996-5298
Mailing address
17222 KENDALL RIDGE LN, HOUSTON, TX 77095-5199
(281) 948-2845
(800) 996-5298
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
K7206
TX
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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