Provider Demographics
NPI:1225222144
Name:ALLERGY AND ASTHMA CARE INC.
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ABERNATHY-CARVER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-294-1471
Mailing Address - Street 1:2509 VIRGINIA ST NE STE B
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-4695
Mailing Address - Country:US
Mailing Address - Phone:505-294-1471
Mailing Address - Fax:505-293-7148
Practice Address - Street 1:2509 VIRGINIA ST NE STE B
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4695
Practice Address - Country:US
Practice Address - Phone:505-294-1471
Practice Address - Fax:505-293-7148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty