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Organization

GREATER AUSTIN ALLERGY, ASTHMA & IMMUNOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CANDICE KENNON (PRACTICE MGR)
(512) 732-2774
Entity
Organization

Contact information

Practice address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
(855) 959-1863
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
207YX0901X
Otology & Neurotology Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
05/02/2013
Last updated
03/21/2024
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