Rockwall Cardio-Pulmonary Clinic

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

63165 Issued in TX

Legal business name

ROCKWALL CARDIO-PULMONARY CLINIC

Practice address

2504 Ridge Rd
Suite 205
Rockwall, TX 75087-2569

Phone

(972) 722-6192

NPI assigned

Jan 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Samantha A Smith, RCP

Title

Manager

Phone

(972) 722-6192

Specialties & licenses 1

Addresses

Other names 1

• WELLNESS CENTER Doing business as

Tax ID family

Rockwall Cardio Pulmonary Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rockwall Cardio Pulmonary Clinic LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Rockwall, TX
  • NPI 1265582910
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073662854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-722-6192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750872569",
            "telephone_number": "972-722-6192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWALL CARDIO-PULMONARY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-722-6192",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "TX",
            "license": "63165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyrsten Kailey Robinson
• Stephanie Roc, RN
• Jennifer Rocha
• Rockwall Ambulatory Surgery Center LLP
• Rockwall Cardio Pulmonary Clinic LLC
• Rockwall Center of Sensory Integration
• Rockwall Chiropractic PA
• Rockwall Colonics & Wellness Center LLC
• Rockwall County Helping Hands Inc.
• Rockwall Crossing Orthodontics

• Certified Respiratory Therapist in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Certified Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.