Provider Demographics
NPI:1952366049
Name:PULMONARY & SLEEP DISORDERS CONSULT. PA
Entity Type:Organization
Organization Name:PULMONARY & SLEEP DISORDERS CONSULT. PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:LUU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-359-5010
Mailing Address - Street 1:22999 HWY 59 N
Mailing Address - Street 2:SUITE 214
Mailing Address - City:KINGWOOD,
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4493
Mailing Address - Country:US
Mailing Address - Phone:281-359-5010
Mailing Address - Fax:281-359-5131
Practice Address - Street 1:22999 HWY 59 N
Practice Address - Street 2:SUITE 214
Practice Address - City:KINGWOOD,
Practice Address - State:TX
Practice Address - Zip Code:77339-4493
Practice Address - Country:US
Practice Address - Phone:281-359-5010
Practice Address - Fax:281-359-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ5176174400000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00841KMedicare PIN