Provider Demographics
NPI:1770509309
Name:THE ASTHMA & ALLERGY INSTITUTE
Entity Type:Organization
Organization Name:THE ASTHMA & ALLERGY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BOYD
Authorized Official - Middle Name:
Authorized Official - Last Name:PUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-304-0042
Mailing Address - Street 1:548 BOULEVARD PARK W
Mailing Address - Street 2:B
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-3406
Mailing Address - Country:US
Mailing Address - Phone:251-304-0042
Mailing Address - Fax:251-304-0262
Practice Address - Street 1:548 BOULEVARD PARK W
Practice Address - Street 2:B
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-3406
Practice Address - Country:US
Practice Address - Phone:251-304-0042
Practice Address - Fax:251-304-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8384207K00000X, 208000000X
AL27233207K00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty