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Organization
PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.
Active
Organization
PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.
Active
Other names
Allergy and Asthma Associates of North Texas
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD L WASSERMAN M.D., PHD (PRESIDENT)
(972) 566-7788
Entity
Organization
Contact information
Practice address
4500 HILLCREST, SUITE 150, FRISCO, TX 75035-5418
(972) 377-4025
(972) 377-4022
Mailing address
7777 FOREST LN, SUITE B332, DALLAS, TX 75230-2571
(972) 566-7788
(972) 566-8837
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085161002
—
TX
05
—
200032360A
—
OK
Enumeration date
10/25/2006
Last updated
06/28/2013
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