Provider Demographics
NPI:1639113368
Name:SOUTH TEXAS PULMONARY AND CRITICAL CARE ASSOCIATES
Entity type:Organization
Organization Name:SOUTH TEXAS PULMONARY AND CRITICAL CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:NARANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:361-884-2687
Mailing Address - Street 1:1501 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-3109
Mailing Address - Country:US
Mailing Address - Phone:361-884-2687
Mailing Address - Fax:361-884-3425
Practice Address - Street 1:1501 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-3109
Practice Address - Country:US
Practice Address - Phone:361-884-2687
Practice Address - Fax:361-884-3425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ7600207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX085702101Medicaid
TX085702101Medicaid
TX00U58ZMedicare PIN