Allergy & Asthma Care of Wylie, PLLC

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ALLERGY & ASTHMA CARE OF WYLIE, PLLC

Doing business as

Allergy & Asthma Care of Wylie

Practice address

611 S Highway 78 Ste 102
Wylie, TX 75098-4085

Phone

(972) 954-9826

NPI assigned

Feb 25, 2025

Last updated

Feb 25, 2025By 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

Angela Fadahunsi, MDNPI 1780028951

Title

Physician

Phone

(972) 954-9826

Specialties & licenses 1

Addresses

Other names 1

• Allergy & Asthma Care of Wylie Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Angela Wallace Fadahunsi, MD

  • Allergy & Immunology Physician
  • Wylie, TX
  • NPI 1780028951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1134926561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 102",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984085",
            "telephone_number": "972-954-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S HIGHWAY 78 STE 102",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984085",
            "telephone_number": "972-954-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CARE OF WYLIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "FADAHUNSI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "972-954-9826",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Care of Wylie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Allergy & Immunology Physician in Wylie, TX
• Providers in Wylie, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.