Active NPI
Pulmonary Physicians PA
- Pulmonary Disease Physician
- San Antonio, TX
National Provider Identifier
1326071861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- E4177
- Legal business name
- PULMONARY PHYSICIANS PA
- Practice address
- 4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306 - Phone
- (210) 692-9400
- Fax
- (210) 692-9601
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Claire M Clark
- Title
- Office Manager
- Phone
- (210) 692-9400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | E4177 | TX | Primary |
Addresses
Primary practice location
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Mailing address
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Phone (210) 692-9400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110202205 | Medicaid | TX | |
| 196624401 | Medicaid | TX | |
| 0005RF | Other | TX | BLUE CROSS |
National Provider Directory
National Provider DirectoryLocations
8201 Ewing Halsell Dr
Ste 250
San Antonio, TX 78229
Phone (210) 575-8485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1326071861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 440",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-692-9400",
"fax_number": "210-692-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 MEDICAL DR",
"address_2": "SUITE 440",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782296306",
"telephone_number": "210-692-9400",
"fax_number": "210-692-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY PHYSICIANS PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "CLARK",
"authorized_official_first_name": "CLAIRE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "210-692-9400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TX",
"license": "E4177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110202205",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196624401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0005RF",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Tara Pullin
- Pulmonary & Sleep Institute
- Pulmonary and Critical Care Associates of San Antonio
- Pulmonary Consultants of San Antonio, PA
- Pulmonary Institute of San Antonio
- Pulmonary Physicians, L.L.C.
- Pulse Ambulance Service Inc
- Daniela Marie Punzalan, D.M.D
- Sujatha Puppala, M. ED.
- Venkata Krishna Puppala, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.