Organization
MAINLAND ALLERGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN L ANDREW MD (MD)
(281) 337-1512
Entity
Organization
Contact information
Practice address
914 FM 517 RD W, DICKINSON, TX 77539-3923
(281) 337-1512
(281) 534-1472
Mailing address
914 FM 517 RD W, DICKINSON, TX 77539-3923
(281) 337-1512
(281) 534-1472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H3976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081517701
—
TX
01
—
1154317576
INDIVIDUAL NPI
TX
01
—
82G537
BC/BS
TX
Enumeration date
12/05/2007
Last updated
12/05/2007
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