Provider Demographics
NPI:1407806268
Name:ADVANCED PULMONARY & SLEEP SOLUTIONS, P.A.
Entity Type:Organization
Organization Name:ADVANCED PULMONARY & SLEEP SOLUTIONS, P.A.
Other - Org Name:TRI-STATE RESPIRATORY & CRITICAL CARE, P.A
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CRISTOPHER
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-793-7378
Mailing Address - Street 1:1550 MOORES LANE
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503
Mailing Address - Country:US
Mailing Address - Phone:903-793-7378
Mailing Address - Fax:903-793-8866
Practice Address - Street 1:1550 MOORES LANE
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-793-7378
Practice Address - Fax:903-793-8866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTXJ9961207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0007AEMedicare ID - Type UnspecifiedGROUP NUMBER
G20386Medicare UPIN