Provider Demographics
NPI:1821184177
Name:ALLERGY IMMUNOLOGY AND RESPIRATORY CARE PA
Entity Type:Organization
Organization Name:ALLERGY IMMUNOLOGY AND RESPIRATORY CARE PA
Other - Org Name:AIR CARE, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEB
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-473-7544
Mailing Address - Street 1:PO BOX 203228
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75320-3228
Mailing Address - Country:US
Mailing Address - Phone:214-373-1773
Mailing Address - Fax:214-373-1316
Practice Address - Street 1:3600 COMMUNICATIONS PKWY
Practice Address - Street 2:SUITE 675
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8157
Practice Address - Country:US
Practice Address - Phone:972-473-7544
Practice Address - Fax:972-473-7545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00569KMedicare PIN