Organization Active NPI

Texas Lung Care Associates PLLC

  • Pulmonary Disease Physician
  • Grapevine, TX
National Provider Identifier
1104431907
Registry record updated Apr 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
TEXAS LUNG CARE ASSOCIATES PLLC
Practice address
1643 Lancaster Dr Ste 205
Grapevine, TX 76051-3593
Phone
(817) 886-8552
Fax
(877) 958-2567
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2023

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

Authorized official

Name
Gene Veley, MD
Title
Owner
Phone
(817) 251-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

1643 Lancaster Dr Ste 205
Grapevine, TX 76051-3593

Mailing address

115 Wendover CT
Southlake, TX 76092-8589
Phone (817) 251-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220414001254 TX Part B Supplier - Clinic/Group Practice 0941696140 Receives reassigned benefits from 2 practitioners
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Locations

1643 Lancaster Dr
#310
Grapevine, TX 76051

1643 Lancaster Dr
Ste 310
Grapevine, TX 76051

1643 Lancaster Dr
Ste 205
Grapevine, TX 76051
Phone (682) 688-7472

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680393600000",
    "number": "1104431907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WENDOVER CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928589",
            "telephone_number": "817-251-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 LANCASTER DR STE 205",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513593",
            "telephone_number": "817-886-8552",
            "fax_number": "877-958-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS LUNG CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-04-02",
        "certification_date": "2023-04-02",
        "status": "A",
        "authorized_official_last_name": "VELEY",
        "authorized_official_first_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-251-0409",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.