NPIMap

Organization Active NPI

Pulmonary Services of North Texas PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Wichita Falls, TX
National Provider Identifier
1275934747
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
PULMONARY SERVICES OF NORTH TEXAS PLLC
Practice address
1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone
(940) 322-4480
Fax
(940) 322-8420
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Rafael Rivera-Rivera, MDNPI 1669432209
Title
Member
Phone
(940) 322-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

1208 Brook Ave
Wichita Falls, TX 76301-5602

Mailing address

1208 Brook Ave
Wichita Falls, TX 76301-5602
Phone (940) 322-4480

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141201000086 TX Part B Supplier - Clinic/Group Practice 7416279526 Receives reassigned benefits from 10 practitioners
Practice locations: Wichita Falls, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1275934747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015602",
            "telephone_number": "940-322-4480",
            "fax_number": "940-322-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015602",
            "telephone_number": "940-322-4480",
            "fax_number": "940-322-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY SERVICES OF NORTH TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA-RIVERA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "940-322-4480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.