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Organization
HARKER HEIGHTS ALLERGY
Active
Organization
HARKER HEIGHTS ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDICE KENNON MHA (PRACTICE MGR)
(512) 732-2774
Entity
Organization
Contact information
Practice address
2025 MEMORY LN, STE 400A, HARKER HEIGHTS, TX 76548-7487
(542) 793-3842
Mailing address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
(855) 959-1863
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/06/2012
Last updated
07/18/2023
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