Organization Active NPI

Allergy Clinic LLP

  • Allergy Physician
  • Pasadena, TX
National Provider Identifier
1295813301
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 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
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Authorized official

Name
Ms. Tina Holland, CMIS
Title
Billing Manager
Phone
(281) 991-6750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X Primary

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 1

IdentifierTypeStateIssuer
0802902-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

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

6243 Fairmont Pkwy
Ste 102
Pasadena, TX 77505
Phone (281) 991-6750

10223 Broadway St
Ste L
Pearland, TX 77584
Phone (713) 436-9009

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1295813301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY STE 102",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054046",
            "telephone_number": "281-991-6750",
            "fax_number": "281-991-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6243 FAIRMONT PKWY STE 102",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775054046",
            "telephone_number": "281-991-6750",
            "fax_number": "281-991-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "281-991-6750",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMIS"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802902-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.