| Total Lung Center, Inc. | |
|
1600 E Rosedale St Fort Worth TX 76104-5637 | |
| (281) 948-2845 | |
| (800) 996-5298 |
| Full Name | Total Lung Center, Inc. |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1600 E Rosedale St, Fort Worth, Texas |
| Authorized Official Name and Position | Maria Sheppard (PRESIDENT) |
| Authorized Official Contact | 2819482845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Lung Center, Inc. 17222 Kendall Ridge Ln Houston TX 77095-5199 Ph: (281) 948-2845 | Total Lung Center, Inc. 1600 E Rosedale St Fort Worth TX 76104-5637 Ph: (281) 948-2845 |
| NPI Number | 1760625529 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760625529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | K7206 (Texas) | Primary |
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