Provider Demographics
NPI:1497563290
Name:TEXAS PULMONARY CONNECTION PLLC
Entity type:Organization
Organization Name:TEXAS PULMONARY CONNECTION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHAHRUKH
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-578-1121
Mailing Address - Street 1:1403 EXETER CT
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-4219
Mailing Address - Country:US
Mailing Address - Phone:313-578-1121
Mailing Address - Fax:
Practice Address - Street 1:1403 EXETER CT
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-4219
Practice Address - Country:US
Practice Address - Phone:313-578-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-25
Last Update Date:2024-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty