Provider Demographics
NPI:1093739450
Name:ALLERGY & ENT ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:ALLERGY & ENT ASSOCIATES, PLLC
Other - Org Name:ALLERGY & E NT ASSOCIATES, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:T
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-364-1001
Mailing Address - Street 1:450 GEARS ROAD
Mailing Address - Street 2:SUITE 420B
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4509
Mailing Address - Country:US
Mailing Address - Phone:281-874-0400
Mailing Address - Fax:281-874-0212
Practice Address - Street 1:7707 FANNIN
Practice Address - Street 2:SUITE 195
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054
Practice Address - Country:US
Practice Address - Phone:713-797-0045
Practice Address - Fax:713-797-1821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00HE49Medicare ID - Type UnspecifiedGROUP