Provider Demographics
NPI:1427225010
Name:TEXAS ALLERGY & BREATHING CENTERS, P.A.
Entity Type:Organization
Organization Name:TEXAS ALLERGY & BREATHING CENTERS, P.A.
Other - Org Name:DFW ASTHMA & LUNG CONSULTANTS, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUSEF
Authorized Official - Middle Name:ABOU
Authorized Official - Last Name:KAYYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-288-3471
Mailing Address - Street 1:1611 N BELT LINE RD
Mailing Address - Street 2:STE C
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-1722
Mailing Address - Country:US
Mailing Address - Phone:972-288-3471
Mailing Address - Fax:972-288-7445
Practice Address - Street 1:1611 N BELT LINE RD
Practice Address - Street 2:STE C
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-1722
Practice Address - Country:US
Practice Address - Phone:972-288-3471
Practice Address - Fax:972-288-7445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX047594902Medicaid
TX047594902Medicaid
TX00711MMedicare PIN