Provider Demographics
NPI:1922486364
Name:DFW ASTHMA & ALLERGY CENTER PLLC
Entity Type:Organization
Organization Name:DFW ASTHMA & ALLERGY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHAZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-636-1750
Mailing Address - Street 1:3112 CARROLL CIR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1307
Mailing Address - Country:US
Mailing Address - Phone:720-771-8048
Mailing Address - Fax:
Practice Address - Street 1:4674 MCDERMOTT RD STE 310
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-7798
Practice Address - Country:US
Practice Address - Phone:972-636-1750
Practice Address - Fax:972-924-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-18
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN9552207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty