Provider Demographics
NPI:1750494746
Name:BINACA GAGLANI, PA
Entity Type:Organization
Organization Name:BINACA GAGLANI, PA
Other - Org Name:ALLERGIES & ASTHMA CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BINACA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAGLANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-804-0000
Mailing Address - Street 1:2312 WESTERN TRAILS BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1642
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2312 WESTERN TRAILS BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1642
Practice Address - Country:US
Practice Address - Phone:512-804-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180436102Medicaid
TX0010LTOtherBCBS ID FOR PA
TX180436102Medicaid