Provider Demographics
NPI:1750529046
Name:INFINITY PULMONARY SERVICES
Entity type:Organization
Organization Name:INFINITY PULMONARY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:BA,RRT
Authorized Official - Phone:214-915-9916
Mailing Address - Street 1:4907 SPRING AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75210-1360
Mailing Address - Country:US
Mailing Address - Phone:214-915-9916
Mailing Address - Fax:214-915-9909
Practice Address - Street 1:4907 SPRING AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75210-1360
Practice Address - Country:US
Practice Address - Phone:214-915-9916
Practice Address - Fax:214-915-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center