Provider Demographics
NPI:1528031754
Name:ALLERGY & ASTHMA ASSOCIATES, P.L.L.C.
Entity Type:Organization
Organization Name:ALLERGY & ASTHMA ASSOCIATES, P.L.L.C.
Other - Org Name:ALLERGY & ASTHMA ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:LESTER
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-349-0777
Mailing Address - Street 1:3410 FAR WEST BLVD
Mailing Address - Street 2:146
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3194
Mailing Address - Country:US
Mailing Address - Phone:512-349-0777
Mailing Address - Fax:512-349-9111
Practice Address - Street 1:3410 FAR WEST BLVD
Practice Address - Street 2:146
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3194
Practice Address - Country:US
Practice Address - Phone:512-349-0777
Practice Address - Fax:512-349-9111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00084FMedicare ID - Type Unspecified