Texoma Allergy Group, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TEXOMA ALLERGY GROUP, PLLC

Practice address

5012 South US Highway 75
Suite 150
Denison, TX 75020

Phone

(972) 398-3500

Fax

(972) 398-3572

NPI assigned

Oct 7, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John A, Van Wagoner, PA MD

Title

Owner/President

Phone

(972) 398-3500

Specialties & licenses 1

Addresses

Other names 1

• Southwest Allergy& Asthma Center Doing business as

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1679883755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WINDCOM COURT",
            "address_2": "STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937817",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 SOUTH US HIGHWAY 75",
            "address_2": "SUITE 150",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "972-398-3500",
            "fax_number": "972-398-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXOMA ALLERGY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "VAN WAGONER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A,",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-398-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Allergy& Asthma Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.