Organization
FAB PULMONARY SOLUTIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK BRANCACCIO MD (PRESIDENT)
(214) 957-1067
Entity
Organization
Contact information
Practice address
3500 GASTON AVE, 4TH FLOOR JONSSON BLDG, DALLAS, TX 75246-2017
(214) 957-1067
(214) 614-9184
Mailing address
5622 MCCOMMAS BLVD, DALLAS, TX 75206-5636
(214) 300-8599
(214) 614-9184
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J8470
TEXAS MEDICAL LICENSE
TX
Enumeration date
10/17/2018
Last updated
12/10/2019
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