Provider Demographics
NPI:1528035177
Name:ASTHMA AND RESPIRATORY CONSULTANTS PA
Entity Type:Organization
Organization Name:ASTHMA AND RESPIRATORY CONSULTANTS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-385-2266
Mailing Address - Street 1:PO BOX 803282
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75380-3282
Mailing Address - Country:US
Mailing Address - Phone:972-385-2266
Mailing Address - Fax:972-991-2266
Practice Address - Street 1:6805 WOODMARK CT
Practice Address - Street 2:SUITE A
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1928
Practice Address - Country:US
Practice Address - Phone:972-385-2266
Practice Address - Fax:972-991-2266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-02
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1093320-01Medicaid
TXCH4033OtherRR MEDICARE DALLAS GROUP
TXCE7287OtherRR MEDICARE GROUP #
TX1093320-02Medicaid
TX0005AEMedicare ID - Type UnspecifiedDENTON CO GROUP PROVIDER
TX1093320-02Medicaid