Provider Demographics
NPI:1801026513
Name:PULMONARY CARE SPECIALISTS, P. A.
Entity Type:Organization
Organization Name:PULMONARY CARE SPECIALISTS, P. A.
Other - Org Name:MELISSA L. TOMPKINS, M.D., F.C.C.P.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOMPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-394-2971
Mailing Address - Street 1:PO BOX 117506
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75011-7506
Mailing Address - Country:US
Mailing Address - Phone:972-394-2971
Mailing Address - Fax:972-492-1261
Practice Address - Street 1:4333 N JOSEY LN
Practice Address - Street 2:SUITE 207
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4629
Practice Address - Country:US
Practice Address - Phone:972-394-2971
Practice Address - Fax:972-492-1261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4287207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1585OtherRAILROAD MEDICARE
TX0094NCOtherBLUE CROSS/BLUE SHIELD
TX1822041Medicaid
TX1822041Medicaid
DE1585OtherRAILROAD MEDICARE