Organization
ALLERGY & ASTHMA CARE OF WACO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMILA K. DAFTARY M.D. (PRESIDENT)
(254) 753-3646
Entity
Organization
Contact information
Practice address
221 JEWELL DR, WACO, TX 76712-6630
(254) 753-3646
(254) 753-1411
Mailing address
221 JEWELL DR, WACO, TX 76712-6630
(254) 753-3646
(254) 753-1411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G1639
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080984001
—
TX
Enumeration date
08/22/2007
Last updated
07/28/2021
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