Provider Demographics
NPI:1023183027
Name:PULMONOLOGY & SLEEP SERVICES OF SAN ANTONIO, LLC
Entity Type:Organization
Organization Name:PULMONOLOGY & SLEEP SERVICES OF SAN ANTONIO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-599-1433
Mailing Address - Street 1:PO BOX 840439
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-0439
Mailing Address - Country:US
Mailing Address - Phone:210-599-1433
Mailing Address - Fax:210-599-1803
Practice Address - Street 1:11901 TOEPPERWEIN RD
Practice Address - Street 2:SUITE 1401
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3161
Practice Address - Country:US
Practice Address - Phone:210-599-1433
Practice Address - Fax:210-599-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0533207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH47264Medicare UPIN
TX8F3838Medicare ID - Type UnspecifiedSYED INDIVIDUAL MC
TXH58202Medicare UPIN
NVH71183Medicare UPIN