Allergy & Clinical Immunology PLLC
Allergy & Immunology, Allergy in Desoto, TX. Organization (NPI-2).
NPI number1033833629
StatusActive
Last updated in NPPESAug 4, 2025
Details
- NPI
- 1033833629
- Entity type
- Organization (NPI-2)
- Legal business name
- Allergy & Clinical Immunology PLLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2022
- Certification date
- Aug 4, 2025
- Last updated
- Aug 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Alllergic Diagnostic & Treatment Clinic (Other Name)
Practice location
2801 Bolton Boone Dr Ste 101Desoto, TX 75115-2041
Phone 972-298-6677 · Fax 972-298-5583
Mailing address
2801 Bolton Boone Dr Ste 101Desoto, TX 75115-2041
Phone 972-298-6677 · Fax 972-298-5583
Authorized official
Rafiquddin Syed Rahimi
Owner
9722986677
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