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ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS PA NPI 1831294800


NPI Information

NPI: 1831294800
Provider Name: ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization

CLIA Number: 45D1009421

Address:
2000 N MAYS ST STE 109
ROUND ROCK, TX
ZIP 78664
Phone: (254) 690-2800
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ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA is an allergy immunology in Round Rock, 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. ALLERGY AND ASTHMA CLINIC OF CENTRAL TEXAS, PA NPI is 1831294800. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2000 N MAYS ST STE 109
ROUND ROCK, TX
ZIP 78664-166
Phone: (254) 690-2800
Fax: (254) 690-5401

The provider's authorized official is Brian Miller .
The authorized official title is Owner/president and has the following contact phone number (512) 388-1861.

The CLIA number assigned to this NPI record is 45D1009421 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 3/17/2016.


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
1207K00000XAllergy & ImmunologyF4284TEXASYes

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
11960577-01MEDICAIDTEXAS
21960571-01MEDICAIDTEXAS
300791RMEDICARE PINTEXAS
41996407-01MEDICAIDTEXAS
500790RMEDICARE PINTEXAS

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

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