Organization Active NPI

Allergy Relief of Texas PLLC

  • Allergy Physician
  • Fort Worth, TX
National Provider Identifier
1093259293
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
L2028 Issued in TX
Legal business name
ALLERGY RELIEF OF TEXAS PLLC
Practice address
7200 Dutch Branch Rd
Suite 200
Fort Worth, TX 76132-4143
Phone
(817) 346-7676
Fax
(817) 346-7779
NPI assigned
Dec 7, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
James Cameron Thompson, MDNPI 1700833647
Title
Owner
Phone
(817) 346-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170131000353 TX Part B Supplier - Clinic/Group Practice 6800178625 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

7200 Dutch Branch Rd
Ste 200
Fort Worth, TX 76132
Phone (817) 346-7676

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207KA0200X L2028 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

7200 Dutch Branch Rd
Suite 200
Fort Worth, TX 76132-4143

Mailing address

7200 Dutch Branch Rd
Suite 200
Fort Worth, TX 76132-4143
Phone (817) 346-7676

Other names 1

NPPES NPI Registry
  • Chisholm Trail Allergy and Asthma Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 7, 2016.

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1093259293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 DUTCH BRANCH RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324143",
            "telephone_number": "817-346-7676",
            "fax_number": "817-346-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 DUTCH BRANCH RD",
            "address_2": "SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324143",
            "telephone_number": "817-346-7676",
            "fax_number": "817-346-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY RELIEF OF TEXAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-346-7676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "L2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chisholm Trail Allergy and Asthma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.