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CENTRAL TEXAS ALLERGY & ASTHMA, PA

Allergy

New Braunfels, Texas

Provider NPI: 1780705541

Organization Information:
Organization Name:  CENTRAL TEXAS ALLERGY & ASTHMA, PA


Practice Location:
705 LANDA ST SUITE F NEW BRAUNFELS, TX 78130 US
Tel: 830-625-7612  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
TXM2629

Other Provider Identifiers:

IssuerNumberStateType
099025101TX05
Code values:
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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