Active NPI
East Texas Allergy & Asthma Associates
- Specialist
- Longview, TX
National Provider Identifier
1871711267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- F9577
- Legal business name
- EAST TEXAS ALLERGY & ASTHMA ASSOCIATES
- Practice address
- 1009 N 4TH St Ste a
Longview, TX 75601-4768 - Phone
- (903) 757-3808
- Fax
- (903) 757-3893
- NPI assigned
- Apr 23, 2007
- Last updated
- Aug 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Read Holman, M.D.
- Title
- Owner
- Phone
- (903) 757-3808
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | F9577 | TX | Primary |
Addresses
Primary practice location
1009 N 4TH St Ste a
Longview, TX 75601-4768
Mailing address
1009 N 4TH St Ste a
Longview, TX 75601-4768
Phone (903) 757-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 099799102 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1009 N 4th St
#Aa
Longview, TX 75601
Phone (903) 757-3808
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Allergy & Immunology Physician
- Longview, TX
- NPI 1982607776
-
- Medical Physician Assistant
- Houston, TX
- NPI 1922011964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1871711267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 N 4TH ST STE A",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014768",
"telephone_number": "903-757-3808",
"fax_number": "903-757-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 N 4TH ST STE A",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756014768",
"telephone_number": "903-757-3808",
"fax_number": "903-757-3893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS ALLERGY & ASTHMA ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "HOLMAN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "READ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-757-3808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "F9577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "099799102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
- Nora D Eades, LCSW
- Haley Lynn Eager, AGACNP, APRN
- Carl Richard Earnest, M.D.
- Sarah Faye Earnest, FNP
- Lasandra Easley
- East Texas Border Health Clinic (Genesis Primecare)
- East Texas Careteam Inc.
- East Texas Careteam, Inc (Careteam Adult Home Health)
- East Texas Case Management Referral Service
- East Texas Case Management Referral Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.