Provider Demographics
NPI:1629581467
Name:THE LUNG CONSULTANTS LLC
Entity Type:Organization
Organization Name:THE LUNG CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARPREET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-481-4452
Mailing Address - Street 1:1403 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-4219
Mailing Address - Country:US
Mailing Address - Phone:267-481-4452
Mailing Address - Fax:
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 370
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2110
Practice Address - Country:US
Practice Address - Phone:817-778-0777
Practice Address - Fax:817-479-9082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3759207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty