Organization Active NPI

West Texas Allergy, PA

  • Allergy & Immunology Physician
  • Lubbock, TX
National Provider Identifier
1497440408
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
WEST TEXAS ALLERGY, PA
Practice address
5424 19TH St Ste 300
Lubbock, TX 79407-2164
Phone
(806) 795-4391
Fax
(806) 796-1354
NPI assigned
Apr 6, 2023
Organization subpart
Yes
Parent organization
WEST TEXAS ALLERGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Authorized official

Name
Michael Patrick WolbertNPI 1881711778
Title
Owner/Physician
Phone
(432) 682-5385

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 Primary

Addresses

Primary practice location

5424 19TH St Ste 300
Lubbock, TX 79407-2164

Mailing address

5000 Briarwood Ave Ste 100
Midland, TX 79707-2753
Phone (432) 682-5385

National Provider Directory

National Provider Directory
Part of
James R Panuska

Locations

5424 19th St
Ste 300
Lubbock, TX 79407
Phone (806) 795-4391

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1497440408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BRIARWOOD AVE STE 100",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072753",
            "telephone_number": "432-682-5385",
            "fax_number": "432-682-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 19TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072164",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS ALLERGY, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST TEXAS ALLERGY, PA",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "WOLBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "432-682-5385"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.