Provider Demographics
NPI:1881788990
Name:TEXAS LUNG CENTER, P.A.
Entity type:Organization
Organization Name:TEXAS LUNG CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRTOR
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:STREFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-824-8521
Mailing Address - Street 1:3600 GASTON AVE STE 710
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1807
Mailing Address - Country:US
Mailing Address - Phone:214-824-8521
Mailing Address - Fax:214-824-1988
Practice Address - Street 1:3600 GASTON AVE STE 710
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1807
Practice Address - Country:US
Practice Address - Phone:214-824-8521
Practice Address - Fax:214-824-1988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00673KOtherBC/BS OF TEXAS
TXCI9498OtherRAILROAD MEDICARE
TX080980801Medicaid