Organization
ADVANCED ALLERGY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALLIKA IYER M.D. (OWNER)
(936) 441-9944
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER BLVD, #120, CONROE, TX 77304-2888
(936) 441-9944
(936) 441-9910
Mailing address
PO BOX 8877, THE WOODLANDS, TX 77387-8877
(936) 441-9944
(936) 441-9910
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
K0838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0058EV
BCBS
TX
05
—
175506801
—
TX
01
—
DC1025
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
11/10/2009
Update your record
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