Provider Demographics
NPI:1790880268
Name:ALLERGY AND ASTHMA CENTER ADULTS AND CHILDREN P LLC
Entity Type:Organization
Organization Name:ALLERGY AND ASTHMA CENTER ADULTS AND CHILDREN P LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALY
Authorized Official - Middle Name:A
Authorized Official - Last Name:EL-HAG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:972-668-2200
Mailing Address - Street 1:8941 COIT RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-7209
Mailing Address - Country:US
Mailing Address - Phone:972-668-2200
Mailing Address - Fax:972-668-2206
Practice Address - Street 1:8941 COIT RD
Practice Address - Street 2:SUITE #100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7209
Practice Address - Country:US
Practice Address - Phone:972-668-2200
Practice Address - Fax:972-668-2206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0732174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF29188Medicare UPIN
TX95ASMedicare ID - Type Unspecified