Organization Active NPI

Texas Pediatric Pulmonary Consultants, P.a.

  • Pediatric Pulmonology Physician
  • Sherman, TX
National Provider Identifier
1417125154
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
TEXAS PEDIATRIC PULMONARY CONSULTANTS, P.A.
Practice address
140 W Lamberth Rd
Suite C
Sherman, TX 75092-2667
Phone
(903) 416-3500
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Mayra S. Bustillo, MDNPI 1740231430
Title
Director
Phone
(903) 416-3500

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
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X Primary

Addresses

Primary practice location

140 W Lamberth Rd
Suite C
Sherman, TX 75092-2667

Mailing address

2251 W Eldorado Pkwy
Suite 100
McKinney, TX 75070-4358
Phone (972) 562-1188

National Provider Directory

National Provider Directory

Locations

2251 Eldorado Pkwy
Ste 100
McKinney, TX 75070
Phone (972) 542-1444

111 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 558-1850

Practitioners & affiliated clinicians

Practitioners 1

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1417125154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 W ELDORADO PKWY",
            "address_2": "SUITE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750704358",
            "telephone_number": "972-562-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W LAMBERTH RD",
            "address_2": "SUITE C",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750922667",
            "telephone_number": "903-416-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PEDIATRIC PULMONARY CONSULTANTS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "BUSTILLO",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "903-416-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.