Georgetown Pulmonary Associates, P.A.
LBN: Georgetown Pulmonary Associates, P.A.
Georgetown Pulmonary Associates, P.A. is an health care organization with primary practice located at 1900 Scenic Drive Suite 2208, Georgetown TX 78626-7703. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Georgetown Pulmonary Associates, P.A. can be contacted via phone (512) 819-0132, or through Dekeratry, Dominic R via phone (512) 819-0132.
Contact Information
Primary practice address
1900 Scenic Drive Suite 2208
Georgetown TX 78626-7703
Phone: (512) 819-0132
Fax: (512) 819-9335
Website:
Authorized official contact:
Name: Dekeratry, Dominic R Doctor of Medicine (MD)
Phone: (512) 819-0132
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | L0787 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | L0787 | Texas |
Profile Details
| NPI number | 1639300288 |
|---|---|
| LBN Legal business name | Georgetown Pulmonary Associates, P.A. |
| DBA Doing business as | |
| Authorized official | Dekeratry, Dominic R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2009 |
| Last updated | Oct 29th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639300288 | NPPES |
| Texas | MEDICAID | 2064198-01 |
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