Advanced Asthma & Allergy Practice PLLC
Allergy & Immunology in Desoto, TX. Organization (NPI-2).
NPI number1700628716
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1700628716
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Asthma & Allergy Practice PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | – | – | Yes |
Practice location
712 N Hampton Rd Ste 245Desoto, TX 75115-4543
Phone 972-919-6999
Mailing address
712 N Hampton Rd Ste 245Desoto, TX 75115-4543
Phone 972-919-6999
Other practice locations
712 N Hampton Rd Ste 245
Desoto, TX 75115-4543
Desoto, TX 75115-4543
Phone 972-919-6999
Authorized official
Benjamin Iyiola Oyefara
Managing Member
9729196999
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