NPI | 1427353846 |
---|---|
Doing Business As | CLEAR ALLERGY IMMUNOLOGY LASER CENTER |
Entity Type | Organization |
Authorized Contact | ERIC REPHAEL KAVOSH Owner 972-473-2532 |
Organization Subpart ? | No |
Primary Taxonomy | 207KI0005X Allergy & Immunology Clinical & Laboratory Immunology (Licence: TX N6414) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N6414) |
Enumeration Date | 2011-01-15 |
Last Update Date | 2013-02-15 |