Organization
PULMONARY CRITICAL CARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHSIN IJAZ (OWNER)
(682) 900-4174
Entity
Organization
Contact information
Practice address
2800 E BROAD ST STE 500, MANSFIELD, TX 76063-6416
(682) 900-4174
(682) 900-4175
Mailing address
PO BOX 468, SHANNON, AL 35142-0468
(888) 212-4243
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7058
STATE LICENSE
TX
Enumeration date
01/30/2023
Last updated
05/09/2025
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