Dallas Lung Consultants PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

H1159 Issued in TX

Legal business name

DALLAS LUNG CONSULTANTS PA

Practice address

2701 Prince George Ave
Suite 100
Desoto, TX 75115-2045

Phone

(972) 296-8888

Fax

(972) 780-9550

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Stephen E Mueller, MD

Title

President

Phone

(972) 296-8888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Gregory Richard Tollefsbol, PA-C

  • Physician Assistant
  • Desoto, TX
  • NPI 1487874624
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1295769206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE",
            "address_2": "SUITE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152045",
            "telephone_number": "972-296-8888",
            "fax_number": "972-780-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 PRINCE GEORGE AVE",
            "address_2": "SUITE 100",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152045",
            "telephone_number": "972-296-8888",
            "fax_number": "972-780-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS LUNG CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-296-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084184301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Olabisi Dada, MSN
• Dal Surgery, PA
• Dallas Behavioral Healthcare Hospital, LLC
• Dallas County Hospital District
• Dallas Home Care Agency LLC
• Dallas Neuroscience, P.a.
• Daltak
• Lakiesha Dancer
• Ratna S Danda, MD
• Daniel Max & Marcandrea, LLC

• Specialist in Desoto, TX
• Providers in Desoto, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.