Provider Demographics
NPI:1578143566
Name:PREMIER ALLERGY OF TEXAS, PLLC
Entity Type:Organization
Organization Name:PREMIER ALLERGY OF TEXAS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:FREILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:210-764-6567
Mailing Address - Street 1:11840 ALAMO RANCH PKWY STE 80
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-4191
Mailing Address - Country:US
Mailing Address - Phone:210-764-6567
Mailing Address - Fax:888-395-3465
Practice Address - Street 1:11840 ALAMO RANCH PKWY STE 80
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-4191
Practice Address - Country:US
Practice Address - Phone:210-764-6567
Practice Address - Fax:888-395-3465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-13
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty