Total Lung Center, Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

K7206 Issued in TX

Legal business name

TOTAL LUNG CENTER, INC.

Practice address

1600 E Rosedale St
Fort Worth, TX 76104-5637

Phone

(281) 948-2845

Fax

(800) 996-5298

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Maria Sheppard, M.D.

Title

President

Phone

(281) 948-2845

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1760625529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17222 KENDALL RIDGE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770955199",
            "telephone_number": "281-948-2845",
            "fax_number": "800-996-5298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROSEDALE ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761045637",
            "telephone_number": "281-948-2845",
            "fax_number": "800-996-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL LUNG CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-948-2845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "K7206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Torres, RN
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• Total Point ER Fort Worth LLC
• Total Sleep Diagnostics, Inc.
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• Totalcare Behavioral Health
• Bethany Krenek Toth, OTR/L

• Geriatric Medicine (Family Medicine) Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Geriatric Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.