Provider Demographics
NPI:1356966287
Name:ALL-AMERICAN ALLERGY ASTHMA & IMMUNOLOGY CENTER
Entity type:Organization
Organization Name:ALL-AMERICAN ALLERGY ASTHMA & IMMUNOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CALAIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:210-226-3500
Mailing Address - Street 1:79 RAPHAEL
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-1611
Mailing Address - Country:US
Mailing Address - Phone:504-908-2428
Mailing Address - Fax:
Practice Address - Street 1:1303 MCCULLOUGH AVE STE 362
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-5620
Practice Address - Country:US
Practice Address - Phone:210-226-3500
Practice Address - Fax:210-226-3638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty