# VANDERBILT ASTHMA SINUS AND ALLERGY PROGRAM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vanderbilt Asthma Sinus and Allergy Program, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134306244
- **Authorized official:** MRS. ANGELA BARKSDALE (MANAGER PHYSICIAN BILLING SERVICES)
- **Authorized official phone:** (615) 936-2727

## Contact information

- **Practice address:** 2611 WEST END AVENUE, SUITE 210, NASHVILLE, TN 37203
- **Practice address phone:** (615) 936-2727
- **Practice address fax:** (615) 936-5862
- **Mailing address:** P.O. BOX 262, MEMPHIS, TN 38101-0262
- **Mailing address phone:** (615) 936-2727
- **Mailing address fax:** (615) 936-5862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 09/09/2009