Provider Demographics
NPI:1346910379
Name:DALLAS LUNG CARE
Entity Type:Organization
Organization Name:DALLAS LUNG CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDEL RAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LATAIFEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-304-7669
Mailing Address - Street 1:2504 RIDGE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2571
Mailing Address - Country:US
Mailing Address - Phone:214-304-7669
Mailing Address - Fax:214-764-7757
Practice Address - Street 1:2504 RIDGE RD STE 206
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-2571
Practice Address - Country:US
Practice Address - Phone:304-634-5523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty