The Paull Allergy and Asthma Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

License

L8161 Issued in TX

Legal business name

THE PAULL ALLERGY AND ASTHMA CLINIC

Practice address

3201 University Dr E Ste 245
Bryan, TX 77802-3483

Phone

(979) 776-0700

NPI assigned

Mar 29, 2017

Last updated

Mar 29, 2017By 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

Keith PaullNPI 1992798532

Title

Owner

Phone

(979) 776-0700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Paull Allergy & Asthma Clinic, PA Other name

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.

• Keith J Paull, M.D.

  • Specialist
  • College Station, TX
  • NPI 1992798532
  NPD (past) Authorized official

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1487186516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 245",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023483",
            "telephone_number": "979-776-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 245",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023483",
            "telephone_number": "979-776-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAULL ALLERGY AND ASTHMA CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-0700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L8161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178896001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Paull Allergy & Asthma Clinic, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Bryan, TX
• Providers in Bryan, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.