ENT and Allergy Clinic PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

ENT AND ALLERGY CLINIC PA

Practice address

1600 W Business 380
Suite a
Decatur, TX 76234-3281

Phone

(940) 627-7997

Fax

(940) 627-7416

NPI assigned

Apr 26, 2006

Last updated

Jun 6, 2019By 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

Joanne Pham, MDNPI 1174589634

Title

President

Phone

(940) 627-7997

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Joanne Pham, MD

  • Otolaryngology Physician
  • Decatur, TX
  • NPI 1174589634
  Authorized official Same address or phone

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1477519577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W BUSINESS 380",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343281",
            "telephone_number": "940-627-7997",
            "fax_number": "940-627-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W BUSINESS 380",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343281",
            "telephone_number": "940-627-7997",
            "fax_number": "940-627-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT AND ALLERGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-627-7997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669590",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071LT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meagan Edelen, CRNA
• Edward Henry Fries
• Nayer B El-Ashram, MD
• Dwayne Emmons, CRNA
• Sarah Enos
• Epic Heart and Vascular Care PLLC (Epic Heart And Vascular Care)
• Paola Eusse, PT, DPT
• Evoke Surgical PLLC
• Excellent Dental PC
• Bradley Darrell Faglie, M.D.

• Otolaryngology Physician in Decatur, TX
• Providers in Decatur, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.