Provider Demographics
NPI:1871004473
Name:TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
Entity Type:Organization
Organization Name:TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KERIM
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAZACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-465-5881
Mailing Address - Street 1:601 OMEGA DR STE 206
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76014-2075
Mailing Address - Country:US
Mailing Address - Phone:817-465-5881
Mailing Address - Fax:817-394-6294
Practice Address - Street 1:7557 RAMBLER RD STE 730
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-2405
Practice Address - Country:US
Practice Address - Phone:817-461-0201
Practice Address - Fax:817-861-3365
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEXAS PULMONARY & CRITICAL CARE CONSULTANTS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
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