# ALLERGY, ASTHMA & IMMUNOLOGY CENTER, PLLC

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

## Provider details

- **NPI number:** 1982026480
- **Authorized official:** SRIVIDYA SRIDHARA MD (MANAGER/OWNER)
- **Authorized official phone:** (972) 521-3366

## Contact information

- **Practice address:** 623 W FM 544, STE 104, MURPHY, TX 75094-4577
- **Practice address phone:** (972) 521-3366
- **Practice address fax:** (972) 422-5656
- **Mailing address:** 6210 GEORGIAN CT, DALLAS, TX 75254-8652
- **Mailing address phone:** (408) 431-0256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | P4113 | TX | Yes |

## Other

- **Enumeration date:** 01/17/2014
- **Last updated:** 10/28/2024