PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.
Allergy and Immunology
Dallas, Texas
Provider NPI: 1740283647
Organization Information:Organization Name: PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.
Practice Location:
7777 FOREST LANE SB332 DALLAS, TX 75230 US
Tel: 972-566-7788 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
7777 FOREST LANE SB332 DALLAS, TX 75230 US
Tel: 972-566-7788 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207K00000X | Physicians Allergy & Immunology |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 200032360A | OK | 05 | |
| 0851610-02 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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