Provider Demographics
NPI:1780150755
Name:FAB PULMONARY SOLUTIONS PLLC
Entity type:Organization
Organization Name:FAB PULMONARY SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANCACCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-957-1067
Mailing Address - Street 1:5622 MCCOMMAS BLVD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5636
Mailing Address - Country:US
Mailing Address - Phone:214-300-8599
Mailing Address - Fax:214-614-9184
Practice Address - Street 1:3500 GASTON AVE
Practice Address - Street 2:4TH FLOOR JONSSON BLDG
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-2017
Practice Address - Country:US
Practice Address - Phone:214-957-1067
Practice Address - Fax:214-614-9184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXJ8470OtherTEXAS MEDICAL LICENSE