John Allen Van Wagoner, MD, PA
Allergy & Immunology in Murphy, TX. Organization (NPI-2).
NPI number1942007653
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1942007653
- Entity type
- Organization (NPI-2)
- Legal business name
- John Allen Van Wagoner, MD, PA
- Organization subpart
- No
- Enumeration date
- Feb 28, 2025
- Certification date
- Feb 28, 2025
- Last updated
- Feb 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207K00000X | Allergy & Immunology | – | – | Yes |
Other names
- Southwest Allergy & Asthma Center (Doing Business As)
Practice location
703 E Fm 544 Ste 160Murphy, TX 75094-4027
Phone 214-764-2844 · Fax 214-764-2298
Mailing address
6100 Windcom Ct Ste 101Plano, TX 75093-7887
Phone 972-398-3500
Authorized official
John A Van Wagoner
President
9723983500
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