Provider Demographics
NPI:1033529078
Name:TEXAS INSTITUTE OF INTERVENTIONAL PULMONARY & SLEEP, LTD
Entity Type:Organization
Organization Name:TEXAS INSTITUTE OF INTERVENTIONAL PULMONARY & SLEEP, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KALPESH
Authorized Official - Middle Name:P
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-410-4135
Mailing Address - Street 1:211 ELMHURST
Mailing Address - Street 2:SUITE D/E
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-5982
Mailing Address - Country:US
Mailing Address - Phone:512-410-4153
Mailing Address - Fax:
Practice Address - Street 1:211 ELMHURST
Practice Address - Street 2:SUITE D/E
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-5982
Practice Address - Country:US
Practice Address - Phone:512-410-4153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1073732830OtherINDIVIDUAL NPI
TX286819203Medicaid