Provider Demographics
NPI:1063464402
Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE CONSULTANTS, LLP
Entity Type:Organization
Organization Name:PULMONARY CRITICAL CARE AND SLEEP MEDICINE CONSULTANTS, LLP
Other - Org Name:PULMONARY CRITICAL AND SLEEP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLINTON
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:DOERR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-255-4000
Mailing Address - Street 1:DEPT 794
Mailing Address - Street 2:PO BOX 4346
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4346
Mailing Address - Country:US
Mailing Address - Phone:713-255-4000
Mailing Address - Fax:713-255-4050
Practice Address - Street 1:6560 FANNIN ST STE 1632
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2734
Practice Address - Country:US
Practice Address - Phone:713-255-4066
Practice Address - Fax:713-255-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0019MAOtherBLUE CROSS GROUP#
TX169868001Medicaid
TXDC6937OtherRAILROAD MEDICARE #
TX169868001Medicaid