Provider Demographics
NPI:1174658454
Name:SOUTHWEST PULMONARY ASSOCIATES
Entity Type:Organization
Organization Name:SOUTHWEST PULMONARY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:VIROSLAV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-879-6555
Mailing Address - Street 1:10100 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 560
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-4159
Mailing Address - Country:US
Mailing Address - Phone:469-916-0087
Mailing Address - Fax:469-916-0089
Practice Address - Street 1:10100 N CENTRAL EXPY
Practice Address - Street 2:SUITE 560
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4159
Practice Address - Country:US
Practice Address - Phone:469-916-0087
Practice Address - Fax:469-916-0089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXX06129Medicare UPIN