Organization
OSHER CHAIM PLLC
Active
Other names
Clear Allergy Immunology Laser Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC REPHAEL KAVOSH MD (OWNER)
(972) 473-2532
Entity
Organization
Contact information
Practice address
5904 CHAPEL HILL BLVD, SUITE 103, PLANO, TX 75093-5925
(972) 473-2532
Mailing address
5904 CHAPEL HILL BLVD, SUITE 103, PLANO, TX 75093-5925
(972) 473-2532
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
N6414
TX
207R00000X
Internal Medicine Physician
N6414
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0092WK
BCBS
TX
Enumeration date
01/15/2011
Last updated
02/15/2013
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