# COMPREHENSIVE ALLERGY AND ASTHMA CARE CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619301439
- **Authorized official:** DR. TARYN R RICHARDSON M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (240) 206-9601

## Contact information

- **Practice address:** 12164 CENTRAL AVE, SUITE 225, MITCHELLVILLE, MD 20721-1944
- **Practice address phone:** (240) 206-9601
- **Practice address fax:** (240) 206-9072
- **Mailing address:** 12164 CENTRAL AVE, SUITE 225, MITCHELLVILLE, MD 20721-1944
- **Mailing address phone:** (240) 206-9601
- **Mailing address fax:** (240) 206-9072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | D0068780 | MD | Yes |

## Other

- **Enumeration date:** 08/28/2013
- **Last updated:** 10/15/2013