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Organization
FREELLERGY PLLC
Active
Organization
FREELLERGY PLLC
Active
Other names
Texas AllergyMD
Organization subpart
No
Provider details
NPI number
Authorized official
NANA MIREKU MD (MD)
(888) 773-0186
Entity
Organization
Contact information
Practice address
1400 N COIT RD STE 302, MCKINNEY, TX 75071-6656
(888) 773-0186
Mailing address
520 E VINE ST # 1558, KELLER, TX 76248-2300
(888) 773-0186
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0282
MEDICAL LICENSE
TX
Enumeration date
06/13/2022
Last updated
06/13/2022
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