Organization
ALLERGY & ASTHMA CENTER PA
Active
Other names
Allergy & Asthma Center, PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIRAN JAN AMAR II M.D. (PRESIDENT)
(254) 751-1144
Entity
Organization
Contact information
Practice address
333 LONDONDERRY DR, SUITE # 100, WACO, TX 76712-7900
(254) 751-1144
(254) 751-1185
Mailing address
333 LONDONDERRY DR, SUITE # 100, WACO, TX 76712-7900
(254) 751-1144
(254) 751-1185
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
G2305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035EH
BCBS
TX
05
—
081040002
—
TX
01
—
DG3056
RAILROAD MEDICARE
TX
Enumeration date
09/20/2006
Last updated
05/30/2008
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