| NPI | 1679883755 |
|---|---|
| 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 | 174400000X Specialist |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |