Organization Active NPI

Pulmonary Physicians PA

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1326071861
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
E4177 Issued in TX
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

Updated by the provider on May 10, 2011

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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
110202205MedicaidTX
196624401MedicaidTX
0005RFOtherTXBLUE CROSS

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.