| NPI | 1649592205 |
|---|---|
| Doing Business As | SOUTHWEST ALLERGY & ASTHMA CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN A. VAN WAGONER Owner/President 972-398-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX K8854) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |