# FORT WORTH ALLERGY AND ASTHMA ASSOCIATES, LLP

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

## Provider details

- **NPI number:** 1699138305
- **Authorized official:** DR. ROBERT J ROGERS M.D. (PARTNER)
- **Authorized official phone:** (817) 315-2550

## Contact information

- **Practice address:** 5929 LOVELL AVE, FORT WORTH, TX 76107-5029
- **Practice address phone:** (817) 315-2550
- **Practice address fax:** (817) 732-4660
- **Mailing address:** 5929 LOVELL AVE, FORT WORTH, TX 76107-5029
- **Mailing address phone:** (817) 315-2550
- **Mailing address fax:** (817) 732-4660

## Taxonomy

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

## Other

- **Enumeration date:** 03/30/2016
- **Last updated:** 03/30/2016