WEST TEXAS LUNG CLINIC PA (NPI# 1720277437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720277437 |
Entity Type | Organization |
Organization Name | WEST TEXAS LUNG CLINIC PA |
Practice Address |
1904 Pine St Ste. 4c Abilene TX 79601-2449 |
Practice Telephone | 3256704033 |
Practice Fax Number | 3256704051 |
Mailing Telephone | 3256704033 |
Mailing Fax Number | 3256704051 |
Enumeration Date | 2007-10-18 |
Last Update Date | 2015-06-10 |
Authorized Official Name | DR. TAMARA STOJANOVIC (PRESIDENT) |
Authorized Official Telephone | 3256704033 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
K7622 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | FIRST CARE | 124859101 | 01 |
TX | 175257801 | 05 | |
TX | BC/BS | 0079MQ | 01 |
Street Address |
1904 PINE ST STE. 4C |
City | ABILENE |
State | TX |
Zip Code | 79601-2449 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114922713 | Bopanna Muckatira | Internal Medicine | 1904 Pine St, Ste 1 E, Abilene, TX 79601-2449 | 2005-06-20 |
1023342532 | Abilene Kidney Clinic, P.a. | Internal Medicine | 1904 Pine St, Suite 4b, Abilene, TX 79601-2449 | 2009-09-30 |
1922250059 | Bopanna Muckatira Md, Pa | Internal Medicine | 1904 Pine St, 1 E, Abilene, TX 79601-2449 | 2008-10-21 |
1295916450 | Ryan Q. Green | Dentist | 1904 Pine St, Suite 1-d, Abilene, TX 79601-2449 | 2007-11-16 |
1396961322 | Hendrick Provider Network | Family Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2344 | 2007-04-18 |
1649397977 | Theodore C. Dyer, M.d., P.a. | Otolaryngology | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2007-03-23 |
1790864528 | Robert L Striegler | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-11-03 |
1730275041 | George Toby Williams | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-10-05 |
1508874918 | Neelima Ryali | Internal Medicine | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-08-03 |
1134155005 | Min Gao | Specialist | 1904 Pine St, Suite 200, Abilene, TX 79601-2449 | 2006-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
Find all providers in zip 79601 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437782430 | Evette Karlene Robinson | Internal Medicine | 1904 Pine St Ste 4c, Abilene, TX 79601-2450 | 2020-02-18 |
1417948639 | Tamren Ann Pate | Internal Medicine | 1101 N 19th, Ste 107, Abilene, TX 79601 | 2005-11-04 |
1942331954 | Sleep Associates of Abilene | Internal Medicine | 1311 Hickory St, Abilene, TX 79601-3509 | 2007-03-08 |
1144211368 | Preston Leigh Pate | Internal Medicine | 1850 Hickory St, Ste 103, Abilene, TX 79601-2325 | 2005-11-04 |
1861498735 | Hendrick Medical Center | Internal Medicine | 1900 Pine St, Abilene, TX 79601-2432 | 2005-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104431907 | Texas Lung Care Associates Pllc | Internal Medicine | 115 Wendover Ct, Southlake, TX 76092-8589 | 2020-09-09 |
1154964526 | Sridhar Badireddi Md Pa | Internal Medicine | 3500 Gaston Ave # Floors34, Dallas, TX 75246-2017 | 2019-10-17 |
1740830702 | Jamal Adel Turki | Internal Medicine | 20510 Walnut Canyon Dr, Katy, TX 77450-5427 | 2019-09-12 |
1245885342 | Manica Isiguzo, Md Pa | Internal Medicine | 34910 Interstate 10 W Ste 601, Boerne, TX 78006-9230 | 2019-08-06 |
1497243943 | Howard M Mintz Md Pllc | Internal Medicine | 10501 N Central Expy Ste 101, Dallas, TX 75231-2203 | 2018-04-30 |
1417457938 | Lung Specialist Associates of Texas Pllc | Internal Medicine | 300 N Highland Ave Ste 455, Sherman, TX 75092-7391 | 2018-02-21 |
1265943104 | Greater Houston Lung and Sleep Center Pllc | Internal Medicine | 6550 Fannin St Ste 2321, Houston, TX 77030-2723 | 2017-10-18 |
1164961405 | Texas Pulmonology Inc | Internal Medicine | 19315 Country Village Dr, Spring, TX 77388-3080 | 2017-02-20 |
1013382753 | Internal & Pulmonary Granbury | Internal Medicine | 2214 E Us Highway 377, Ste B, Granbury, TX 76049-6010 | 2015-12-07 |
1457728081 | Humayun Anjum,pllc | Internal Medicine | 1711 W Wheeler Ave Ste 1, Aransas Pass, TX 78336-4536 | 2015-08-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.