Organization Active NPI

Allervie Health Texas PA

  • Allergy & Immunology Physician
  • Lubbock, TX
National Provider Identifier
1174642037
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERVIE HEALTH TEXAS PA
Doing business as
Allergy and Asthma Clinic of West Texas
Practice address
3502 22ND St
Lubbock, TX 79410-1308
Phone
(806) 799-4192
Fax
(806) 799-6299
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Samuel Altman
Title
Revenue Integrity Administrator
Phone
(469) 209-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

3502 22ND St
Lubbock, TX 79410-1308

Mailing address

3502 22ND St
Lubbock, TX 79410-1308
Phone (806) 799-4192

Other identifiers 3

IdentifierTypeStateIssuer
0082EBOtherTXBCBS PROVIDER NUMBER
034074701MedicaidTX
1861597973OtherNPI NUMBER

Other names 1

  • Allergy and Asthma Clinic of West Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040827000624 TX Part B Supplier - Clinic/Group Practice 4789659392 Receives reassigned benefits from 10 practitioners
Practice locations: Midland, TX; Lubbock, TX

National Provider Directory

National Provider Directory

Locations

10607 Quaker Ave
Unit 102
Lubbock, TX 79424
Phone (806) 318-0441

5424 19th St
Lubbock, TX 79407

3502 22nd St
Lubbock, TX 79410
Phone (806) 771-5595

10607 Quaker Ave
Lubbock, TX 79424
Phone (806) 375-4888

5000 Briarwood Ave
Midland, TX 79707
Phone (432) 682-5385

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1174642037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192",
            "fax_number": "806-799-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101308",
            "telephone_number": "806-799-4192",
            "fax_number": "806-799-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERVIE HEALTH TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-09-02",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "REVENUE INTEGRITY ADMINISTRATOR",
        "authorized_official_telephone_number": "469-209-8355"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0082EB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034074701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1861597973",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy and Asthma Clinic of West Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.