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Organization
CENTRAL TEXAS ALLERGY & ASTHMA, PA
Active
Organization
CENTRAL TEXAS ALLERGY & ASTHMA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRIYANKA GUPTA M.D. (PRESIDENT-MEDICAL DIRECTOR)
(830) 625-7612
Entity
Organization
Contact information
Practice address
705 LANDA ST, SUITE F, NEW BRAUNFELS, TX 78130-6172
(830) 625-7612
(830) 627-9357
Mailing address
705 LANDA ST, SUITE F, NEW BRAUNFELS, TX 78130-6163
(830) 625-7612
(830) 627-9357
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M2629
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099025101
—
TX
Enumeration date
04/02/2007
Last updated
08/28/2012
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