Organization
INNOVATIVE ALLERGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAT QUOC TRAN MD (MEDICAL DIRECTOR)
(281) 701-5457
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 115, HOUSTON, TX 77081-4629
(281) 701-5457
(281) 605-6815
Mailing address
6550 MAPLERIDGE ST STE 115, HOUSTON, TX 77081-4629
(281) 701-5457
(281) 605-6815
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
N4167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453533520
—
TX
Enumeration date
06/07/2018
Last updated
05/03/2026
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