Provider Demographics
NPI:1104431907
Name:TEXAS LUNG CARE ASSOCIATES PLLC
Entity type:Organization
Organization Name:TEXAS LUNG CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-251-0409
Mailing Address - Street 1:115 WENDOVER CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-8589
Mailing Address - Country:US
Mailing Address - Phone:817-251-0409
Mailing Address - Fax:
Practice Address - Street 1:1643 LANCASTER DR STE 205
Practice Address - Street 2:
Practice Address - City:GRAPEVINE
Practice Address - State:TX
Practice Address - Zip Code:76051-3593
Practice Address - Country:US
Practice Address - Phone:817-886-8552
Practice Address - Fax:877-958-2567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty