Provider Demographics
NPI:1730472465
Name:ADAIR ALLERGY & ASTHMA CLINIC, PA
Entity Type:Organization
Organization Name:ADAIR ALLERGY & ASTHMA CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ADAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-488-8889
Mailing Address - Street 1:125 WEST STATE HIGHWAY 121
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2129
Mailing Address - Country:US
Mailing Address - Phone:214-488-8889
Mailing Address - Fax:214-488-8886
Practice Address - Street 1:125 WEST STATE HIGHWAY 121
Practice Address - Street 2:SUITE 110
Practice Address - City:COPPELL
Practice Address - State:TX
Practice Address - Zip Code:75019-2129
Practice Address - Country:US
Practice Address - Phone:214-488-8889
Practice Address - Fax:214-488-8886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN8263207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1730472465Medicare UPIN