Provider Demographics
NPI:1750594453
Name:CENTER FOR PULMONARY & SLEEP DISORDERS PA
Entity type:Organization
Organization Name:CENTER FOR PULMONARY & SLEEP DISORDERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSTANSIR
Authorized Official - Middle Name:
Authorized Official - Last Name:VEJLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-351-5600
Mailing Address - Street 1:721 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4537
Mailing Address - Country:US
Mailing Address - Phone:281-351-5600
Mailing Address - Fax:281-351-5630
Practice Address - Street 1:721 JAMES ST
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4537
Practice Address - Country:US
Practice Address - Phone:281-351-5600
Practice Address - Fax:281-351-5630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1116207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8264B7OtherMEDICARE GROUP NUMBER
TX152796201Medicaid
TX00760TMedicare PIN
TX8264B7OtherMEDICARE GROUP NUMBER