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WEST TEXAS ALLERGY PA NPI 1073631404


NPI Information

NPI: 1073631404
Provider Name: WEST TEXAS ALLERGY, PA
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 45D2137364

Address:
5000 BRIARWOOD AVE STE 100
MIDLAND, TX
ZIP 79707
Phone: (432) 682-5385
Get Directions

WEST TEXAS ALLERGY, PA is an allergy immunology in Midland, TX. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. WEST TEXAS ALLERGY, PA NPI is 1073631404. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5000 BRIARWOOD AVE STE 100
MIDLAND, TX
ZIP 79707-753
Phone: (432) 682-5385
Fax: (432) 682-1265

The provider's authorized official is Michael P Wolbert .
The authorized official title is Owner and has the following contact phone number (432) 682-5385.

The CLIA number assigned to this NPI record is 45D2137364 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 4/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyNo
2207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080863601MEDICAIDTEXAS
200608KOTHERTEXASMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.