Pediatric Allergy Immunology Assoc.,P.a.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.

Doing business as

Dallas Allergy Immunology

Practice address

7777 Forest Lane
Sb332
Dallas, TX 75230-6822

Phone

(972) 566-7788

Fax

(972) 566-8837

NPI assigned

May 24, 2005

Organization subpart

No

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

Authorized official

Name

Richard L Wasserman, M.D., PHDNPI 1346234614

Title

President

Phone

(972) 566-7788

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dallas Allergy Immunology Doing business as

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.

• Richard Lawrence Wasserman, MD, PHD

  • Allergy & Immunology Physician
  • Dallas, TX
  • NPI 1346234614
  Authorized official Same address or phone

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1740283647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN",
            "address_2": "SUITE B332",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7788",
            "fax_number": "972-566-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LANE",
            "address_2": "SB332",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306822",
            "telephone_number": "972-566-7788",
            "fax_number": "972-566-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ALLERGY IMMUNOLOGY ASSOC.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "WASSERMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-566-7788",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200032360A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851610-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Allergy Immunology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Acute Care Associates of N.TX, PLLC
• Pediatric Acute Care Associates of North Texas, PLLC
• Pediatric Anesthesia Associates
• Pediatric Associates of Dallas
• Pediatric Cardiac Intensivists of North Texas PLLC
• Pediatric Cardiology Associates of Houston LLC, William P. Laird, MBR.
• Pediatric Care for Kids, PA

• Allergy & Immunology Physician in Dallas, TX
• Providers in Dallas, 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 Jun 27, 2013; 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.