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ENT AND ALLERGY CLINIC PA NPI 1477519577


NPI Information

NPI: 1477519577
Provider Name: ENT AND ALLERGY CLINIC PA
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 45D2243194

Address:
1600 W BUSINESS 380
SUITE A
DECATUR, TX
ZIP 76234
Phone: (940) 627-7997
Get Directions

ENT AND ALLERGY CLINIC PA is an otolaryngology in Decatur, TX. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. ENT AND ALLERGY CLINIC PA NPI is 1477519577. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 W BUSINESS 380
SUITE A
DECATUR, TX
ZIP 76234-281
Phone: (940) 627-7997
Fax: (940) 627-7416

The provider's authorized official is Joanne Pham .
The authorized official title is President and has the following contact phone number (940) 627-7997.

The CLIA number assigned to this NPI record is 45D2243194 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/26/2006 and was last updated on 6/6/2019.


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
1207Y00000XOtolaryngologyYes

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
10071LTOTHERTEXASBCBS
21669590MEDICAIDTEXAS

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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