Provider Demographics
NPI:1164961405
Name:TEXAS PULMONOLOGY INC
Entity Type:Organization
Organization Name:TEXAS PULMONOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PASCAL
Authorized Official - Middle Name:LEMNYUY
Authorized Official - Last Name:KINGAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-902-3079
Mailing Address - Street 1:4008 LOUETTA RD
Mailing Address - Street 2:BOX 227
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4405
Mailing Address - Country:US
Mailing Address - Phone:512-905-3079
Mailing Address - Fax:
Practice Address - Street 1:19315 COUNTRY VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-3080
Practice Address - Country:US
Practice Address - Phone:512-905-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-20
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9622207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP9622OtherTEXAS MEDICAL BOARD