Provider Demographics
NPI:1851710123
Name:SUMMIT PULMONARY AND SLEEP PLLC
Entity Type:Organization
Organization Name:SUMMIT PULMONARY AND SLEEP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IRFANULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUFZAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-868-2800
Mailing Address - Street 1:300 N HIGHLAND AVE
Mailing Address - Street 2:SUITE 455
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75092-7388
Mailing Address - Country:US
Mailing Address - Phone:903-868-2800
Mailing Address - Fax:903-868-2822
Practice Address - Street 1:300 N HIGHLAND AVE
Practice Address - Street 2:SUITE 455
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75092-7388
Practice Address - Country:US
Practice Address - Phone:903-868-2800
Practice Address - Fax:903-868-2822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP3841174400000X, 207QS1201X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX348782Medicare PIN