Provider Demographics
NPI:1871287607
Name:TEXAS LUNG SPECIALISTS PLLC
Entity type:Organization
Organization Name:TEXAS LUNG SPECIALISTS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEVASANTH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVASAHAYAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-299-4800
Mailing Address - Street 1:7750 N MACARTHUR BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7501
Mailing Address - Country:US
Mailing Address - Phone:469-299-4800
Mailing Address - Fax:469-788-7546
Practice Address - Street 1:3311 YUCCA DR STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2743
Practice Address - Country:US
Practice Address - Phone:469-299-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty