Provider Demographics
NPI:1770862336
Name:PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS OF NORTH TEXAS, PA
Entity Type:Organization
Organization Name:PULMONARY SLEEP AND CRITICAL CARE SPECIALISTS OF NORTH TEXAS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:AMIR
Authorized Official - Last Name:RIZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-207-7016
Mailing Address - Street 1:1816 S FM 51
Mailing Address - Street 2:SUITE 400, # 137
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-3784
Mailing Address - Country:US
Mailing Address - Phone:940-626-8630
Mailing Address - Fax:940-626-8631
Practice Address - Street 1:902 PRESKITT RD STE 500
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-4101
Practice Address - Country:US
Practice Address - Phone:940-626-8630
Practice Address - Fax:940-626-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0011WYOtherBCBS
TX290669501Medicaid
TX423838801Medicaid