Organization
FAAC, PA
Active
Other names
Family Allergy and Asthma CARE
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SHEREN (SPECIALTY INSURANCE MANAGER)
(972) 539-0086
Entity
Organization
Contact information
Practice address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Mailing address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
H4184
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016CV
BCBS
TX
01
—
5002043
AETNA
TX
Enumeration date
08/31/2006
Last updated
01/16/2026
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