Organization · NPI-2

Denton Allergy Group PLLC

Allergy & Immunology · Denton, TX

NPI number1811297054
StatusActive
Last updated in NPPESOct 21, 2010

Details

NPI
1811297054
Entity type
Organization (NPI-2)
Legal business name
Denton Allergy Group PLLC
Organization subpart
No
Enumeration date
Oct 21, 2010
Last updated
Oct 21, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207K00000X Allergy & Immunology––Yes

Other names

  • Southwest Allergy & Asthma Center (Doing Business As)

Practice location

3105 Colorado Blvd
Suite 101
Denton, TX 76210

Phone 972-398-3500 · Fax 972-398-3512

Mailing address

6101 Windcom Court
Ste 400
Plano, TX 75093-7817

Phone 972-398-3500 · Fax 972-398-3512

Authorized official

John A. Van Wagoner
Owner/President
9723983500

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