Provider Demographics
NPI:1588614291
Name:HOUSTON NORTHEAST ALLERGY, P. A.
Entity Type:Organization
Organization Name:HOUSTON NORTHEAST ALLERGY, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:CLAUDE
Authorized Official - Last Name:LAROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-348-3321
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:SUITE #290
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4438
Mailing Address - Country:US
Mailing Address - Phone:281-348-3321
Mailing Address - Fax:281-348-3305
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:SUITE #290
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77339-4438
Practice Address - Country:US
Practice Address - Phone:281-348-3321
Practice Address - Fax:281-348-3305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1107207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0031KNOtherBLUE CROSS BLUE SHIELD
C18170Medicare UPIN
0031KNOtherBLUE CROSS BLUE SHIELD