Provider Demographics
NPI:1245427061
Name:NORTH TEXAS PULMONARY ASSOC.
Entity Type:Organization
Organization Name:NORTH TEXAS PULMONARY ASSOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYADIEGWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-733-1758
Mailing Address - Street 1:203 WALLS DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-7022
Mailing Address - Country:US
Mailing Address - Phone:972-733-1758
Mailing Address - Fax:
Practice Address - Street 1:203 WALLS DR
Practice Address - Street 2:SUITE 208
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-7022
Practice Address - Country:US
Practice Address - Phone:972-733-1758
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTEMP207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty