Allergy Clinic LLP
Organization Active NPI Allergy Physician · Pasadena, TX
NPI 1295813301 · NPPES record last updated Oct 21, 2022
Key facts
- NPI
- 1295813301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy Physician 207KA0200X
- Legal business name
- ALLERGY CLINIC LLP
- Practice address
- 6243 Fairmont Pkwy Ste 102
Pasadena, TX 77505-4046 - Phone
- (281) 991-6750
- Fax
- (281) 991-7611
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Tina Holland, CMIS
- Title
- Billing Manager
- Phone
- (281) 991-6750
Practitioners 11
-
Anthony J Weido, M.D.
-
Sunil Kumar Saraf, M.D.
-
Lisa Adams Dargel, PA-C
-
Carlos James Vital, M.D.
-
John C York, MD
-
Joseph Poole, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050901000855 | TX | Part B Supplier - Clinic/Group Practice | 5991737694 |
Receives reassigned benefits from 4 practitioners Practice locations: Houston, TX; Pasadena, TX; Pearland, TX |
National Provider Directory
Locations
1200 Binz St
Ste 1400
Houston, TX 77004
Phone (713) 522-9911
7707 Fannin St
Ste 100
Houston, TX 77054
Phone (713) 797-0993
4600 Fairmont Pkwy
Ste 107
Pasadena, TX 77504
Phone (281) 310-8550
10223 Broadway St
Ste L
Pearland, TX 77584
Phone (713) 436-9009
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician |
207KA0200X | Yes |
Addresses
Primary practice location
6243 Fairmont Pkwy Ste 102
Pasadena, TX 77505-4046
Mailing address
6243 Fairmont Pkwy Ste 102
Pasadena, TX 77505-4046
Phone (281) 991-6750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0802902-01 | Medicaid | TX |
Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.