Organization Active NPI

Mainland Allergy Clinic

  • Specialist
  • Dickinson, TX
National Provider Identifier
1871775486
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H3976 Issued in TX
Legal business name
MAINLAND ALLERGY CLINIC
Practice address
914 FM 517 Rd W
Dickinson, TX 77539-3923
Phone
(281) 337-1512
Fax
(281) 534-1472
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Susan L Andrew, MDNPI 1154317576
Title
MD
Phone
(281) 337-1512

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H3976 TX Primary

Addresses

Primary practice location

914 FM 517 Rd W
Dickinson, TX 77539-3923

Mailing address

914 FM 517 Rd W
Dickinson, TX 77539-3923
Phone (281) 337-1512

Other identifiers 3

IdentifierTypeStateIssuer
081517701MedicaidTX
1154317576OtherTXINDIVIDUAL NPI
82G537OtherTXBC/BS

National Provider Directory

National Provider Directory

Locations

914 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 337-1512

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1871775486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393923",
            "telephone_number": "281-337-1512",
            "fax_number": "281-534-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393923",
            "telephone_number": "281-337-1512",
            "fax_number": "281-534-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND ALLERGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "281-337-1512",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081517701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1154317576",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "82G537",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.