NPI | 1316063993 |
---|---|
Doing Business As | SOUTHWEST ALLERGY AND ASTHMA CENTER |
Entity Type | Organization |
Authorized Contact | JOHN ALLEN VAN WAGONER Owner 972-398-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX K8854) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2010-07-28 |