Provider Demographics
NPI:1699809897
Name:PULMONARY & SLEEP ASSOCIATES OF SAN ANTONIO PA
Entity Type:Organization
Organization Name:PULMONARY & SLEEP ASSOCIATES OF SAN ANTONIO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-599-1433
Mailing Address - Street 1:PO BOX 2338
Mailing Address - Street 2:
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-1338
Mailing Address - Country:US
Mailing Address - Phone:210-599-1433
Mailing Address - Fax:210-599-1803
Practice Address - Street 1:11901 TOEPPERWEIN RD
Practice Address - Street 2:SUITE 1401
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3160
Practice Address - Country:US
Practice Address - Phone:210-599-1433
Practice Address - Fax:210-599-1803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00915ZOtherMCR GROUP
TX17460750Medicaid
TX174607501Medicaid
TX17460750Medicaid