Organization Active NPI

Daniel Suez, M.D., Allergy, Asthma and Immunology Clinic, P.a.

  • Allergy & Immunology Physician
  • Irving, TX
National Provider Identifier
1255519385
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
H1217 Issued in TX
Legal business name
DANIEL SUEZ, M.D., ALLERGY, ASTHMA AND IMMUNOLOGY CLINIC, P.A.
Practice address
1115 Kinwest Parkway
Suite 100
Irving, TX 75063
Phone
(972) 401-0545
Fax
(972) 401-0614
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Dr. Daniel Suez, MDNPI 1255312773
Title
Doctor Owner
Phone
(972) 401-0545

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X H1217 TX Primary

Addresses

Primary practice location

1115 Kinwest Parkway
Suite 100
Irving, TX 75063

Mailing address

1115 Kinwest Parkway
Suite 100
Irving, TX 75063
Phone (972) 401-0545

Other identifiers 1

IdentifierTypeStateIssuer
158640601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040813000602 TX Part B Supplier - Clinic/Group Practice 5193798619 Receives reassigned benefits from 1 practitioner
Practice locations: Irving, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0906958Allergy, Asthma & Immunology Clinic PA1115 Kinwest Parkway, Suite 100, Irving, TX 75063Provider-performed microscopyOct 5, 2027

National Provider Directory

National Provider Directory

Locations

440 W Lyndon B Johnson Fwy
Ste 475
Irving, TX 75063
Phone (512) 917-1946

Practitioners & affiliated clinicians

Practitioners 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1255519385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 KINWEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-401-0545",
            "fax_number": "972-401-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 KINWEST PARKWAY",
            "address_2": "SUITE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75063",
            "telephone_number": "972-401-0545",
            "fax_number": "972-401-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL SUEZ, M.D., ALLERGY, ASTHMA AND IMMUNOLOGY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "SUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "972-401-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "H1217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158640601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.