Provider Demographics
NPI:1639536170
Name:FLTEX USA ALLERGY SOLUTIONS LLC
Entity Type:Organization
Organization Name:FLTEX USA ALLERGY SOLUTIONS LLC
Other - Org Name:USA ALLERGY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-432-1144
Mailing Address - Street 1:3130 SUNSET CV
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-6836
Mailing Address - Country:US
Mailing Address - Phone:254-432-1144
Mailing Address - Fax:
Practice Address - Street 1:3130 SUNSET CV
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-6836
Practice Address - Country:US
Practice Address - Phone:254-432-1144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-27
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
1114384658OtherINDIVIDUAL NPI