Organization
IMMUNO, PA
Active
Parent organization
ALLERGY, ASTHMA AND IMMUNOLOGY SPECIALISTS OF SAN ANTONIO
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLERGY, ASTHMA AND IMMUNOLOGY SPECIALISTS OF SAN ANTONIO
Authorized official
ARACELI ELIZALDE (PHYSICIAN OWNER)
(210) 899-6856
Entity
Organization
Contact information
Practice address
21727 IH 10 W STE 104, SAN ANTONIO, TX 78257-2108
(210) 899-6856
Mailing address
21727 IH 10 W STE 104, SAN ANTONIO, TX 78257-2108
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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