| Lung And Sleep Specialists Of North Texas | |
|
1200 Clear Lake Rd Ste 101 Weatherford TX 76086-5891 | |
| (817) 594-9993 | |
| (817) 594-9915 |
| Full Name | Lung And Sleep Specialists Of North Texas |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Clear Lake Rd, Weatherford, Texas |
| Authorized Official Name and Position | Olusegun A Oseni (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8175949993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lung And Sleep Specialists Of North Texas 1200 Clear Lake Rd Weatherford TX 76086-5802 Ph: (817) 594-9993 | Lung And Sleep Specialists Of North Texas 1200 Clear Lake Rd Ste 101 Weatherford TX 76086-5891 Ph: (817) 594-9993 |
| NPI Number | 1487971024 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 03/20/2019 |
| Medicare PECOS PAC ID | 7012049406 |
|---|---|
| Medicare Enrollment ID | O20100721000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487971024 | NPI | - | NPPES |
| 1487971024 | Other | GROUP NPI |
| Provider Name | Olusegun Adekunle Oseni |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1982699005 PECOS PAC ID: 9032191614 Enrollment ID: I20100721000134 |
| Provider Name | Laura L Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902234289 PECOS PAC ID: 8022231372 Enrollment ID: I20140514001130 |
| Provider Name | Pavan Irukulla |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1184860926 PECOS PAC ID: 7911062310 Enrollment ID: I20170809001944 |
| Provider Name | Brandon Scott Boswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568926343 PECOS PAC ID: 4688913148 Enrollment ID: I20190227001149 |
| Provider Name | Nkeiru P Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154701746 PECOS PAC ID: 7113354622 Enrollment ID: I20200224000079 |
| Provider Name | Lauren N Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396314860 PECOS PAC ID: 0941698567 Enrollment ID: I20211101000080 |
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