Organization
TEXAS SPECIALTY CARE FOR ALLERGY AND ASTHMA, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THANAI PONGDEE M.D. (PRESIDENT)
(972) 661-9197
Entity
Organization
Contact information
Practice address
10 MEDICAL PKWY, PLAZA 3, SUITE 202, DALLAS, TX 75234-7840
(972) 661-9197
(972) 692-7153
Mailing address
10 MEDICAL PKWY, PLAZA 3, SUITE 202, DALLAS, TX 75234-7840
(972) 661-9197
(972) 692-7153
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
L6579
TX
207KA0200X
Allergy Physician
L6579
TX
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
L6579
TX
2080P0201X
Pediatric Allergy/Immunology Physician
L6579
TX
Other
Enumeration date
11/01/2006
Last updated
11/10/2008
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