Provider Demographics
NPI:1013382753
Name:INTERNAL & PULMONARY GRANBURY
Entity Type:Organization
Organization Name:INTERNAL & PULMONARY GRANBURY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETORSHIP
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLAUDIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-549-3003
Mailing Address - Street 1:2214 E US HIGHWAY 377
Mailing Address - Street 2:STE B
Mailing Address - City:GRANBURY
Mailing Address - State:TX
Mailing Address - Zip Code:76049-6010
Mailing Address - Country:US
Mailing Address - Phone:682-936-2636
Mailing Address - Fax:
Practice Address - Street 1:2214 E US HIGHWAY 377
Practice Address - Street 2:STE B
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76049-6010
Practice Address - Country:US
Practice Address - Phone:682-936-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty