Provider Demographics
NPI:1407845456
Name:PULMONARY MEDICINE CONSULTANTS, PA
Entity Type:Organization
Organization Name:PULMONARY MEDICINE CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:H
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-680-0668
Mailing Address - Street 1:2821 GEORGE BUSH HWY STE 407
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4279
Mailing Address - Country:US
Mailing Address - Phone:972-680-0668
Mailing Address - Fax:972-680-2499
Practice Address - Street 1:2821 GEORGE BUSH HWY STE 407
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4279
Practice Address - Country:US
Practice Address - Phone:972-680-0668
Practice Address - Fax:972-680-2499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX082727101Medicaid
TX082727101Medicaid