Advanced Allergy of San Antonio

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ADVANCED ALLERGY OF SAN ANTONIO

Practice address

104 Gallery Cir
Suite 120
San Antonio, TX 78258-3329

Phone

(210) 499-0033

Fax

(210) 404-0926

NPI assigned

Dec 27, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Adrianne Vaughn, M.D.NPI 1649263740

Title

Doctor

Phone

(210) 499-0033

Specialties & licenses 1

Addresses

Other names 1

• ADRIANNE VAUGHN Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrianne Dewalt Vaughn, M.D.

  • Allergy Physician
  • San Antonio, TX
  • NPI 1649263740
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093870214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583329",
            "telephone_number": "210-499-0033",
            "fax_number": "210-404-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GALLERY CIR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583329",
            "telephone_number": "210-499-0033",
            "fax_number": "210-404-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED ALLERGY OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-499-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADRIANNE VAUGHN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.