Organization Active NPI

Lung and Asthma Clinic, P.a.

  • Critical Care Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1396723896
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
LUNG AND ASTHMA CLINIC, P.A.
Practice address
6550 Fannin St Ste 2123
Houston, TX 77030-2709
Phone
(713) 795-5155
Fax
(713) 795-5515
NPI assigned
Jan 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Ghassan Noureddine, M.D.NPI 1770596736
Title
Owner
Phone
(713) 795-5155

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X Primary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X

Addresses

Primary practice location

6550 Fannin St Ste 2123
Houston, TX 77030-2709

Mailing address

PO Box 973722
Dallas, TX 75397-3722
Phone (713) 795-5155

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ghassan.noureddine@lac.eclinicaldirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108001093 TX Part B Supplier - Clinic/Group Practice 3971403890 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Houston, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3315 Burke Rd
Ste 204
Pasadena, TX 77504
Phone (713) 795-5155

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1396723896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 973722",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753973722",
            "telephone_number": "713-795-5155",
            "fax_number": "713-795-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 2123",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302709",
            "telephone_number": "713-795-5155",
            "fax_number": "713-795-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNG AND ASTHMA CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "NOUREDDINE",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-795-5155",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghassan.noureddine@lac.eclinicaldirect.com",
            "affiliation": "N",
            "address_1": "6550 Fannin St Ste 2321",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770302723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.