The Paull Allergy & Asthma Clinic, P.a

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

L8161 Issued in TX

Legal business name

THE PAULL ALLERGY & ASTHMA CLINIC, P.A

Practice address

3201 University Dr E Ste 245
Bryan, TX 77802

Phone

(979) 776-0700

Fax

(979) 776-5624

NPI assigned

Jan 31, 2007

Last updated

Apr 11, 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

Dr. Keith J Paull, MDNPI 1992798532

Title

Owner

Phone

(979) 776-0700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

  Single Specialty

  Medicare reassignment NPD Authorized official
• Mary E Wells, CFNP

  • Family Nurse Practitioner
  • Giddings, TX
  • NPI 1285709774
  NPD (past)
• Dov Levine, DO

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1124002084
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1609913326",
    "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": "77802",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        },
        {
            "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": "77802",
            "telephone_number": "979-776-0700",
            "fax_number": "979-776-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAULL ALLERGY & ASTHMA CLINIC, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "PAULL",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "L8161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178896001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1647190-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thomas a Ginn Mdpa
• Hayley Deshon Thomas, PTA

• Allergy & Immunology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.