Provider Demographics
NPI:1003217548
Name:ALLERGY AND ASTHMA EXPERTS, PLLC
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA EXPERTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:TROJAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-886-4800
Mailing Address - Street 1:1810 E MEMORIAL RD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73131-1250
Mailing Address - Country:US
Mailing Address - Phone:405-607-4333
Mailing Address - Fax:405-607-4404
Practice Address - Street 1:1810 E MEMORIAL RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73131-1250
Practice Address - Country:US
Practice Address - Phone:405-607-4333
Practice Address - Fax:405-607-4404
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
No207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & ImmunologyGroup - Single Specialty