NPIMap

Organization Active NPI

Allergy & ENT Associates, PLLC

  • Allergy & Immunology Physician
  • Lake Jackson, TX
National Provider Identifier
1902820368
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
ALLERGY & ENT ASSOCIATES, PLLC
Practice address
106 Circle Way
Lake Jackson, TX 77566
Phone
(979) 297-6503
Fax
(979) 297-7600
NPI assigned
Jul 27, 2006
Reactivated
Sep 2, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Veronica Hernandez
Title
Credentialing Manager
Phone
(281) 453-4204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X NU Primary
Allergy Physician 207KA0200X NU

Addresses

Primary practice location

106 Circle Way
Lake Jackson, TX 77566

Mailing address

450 Gears Road
Suite 420B
Houston, TX 77067-4509
Phone (281) 453-4204

Other names 1

  • Allergy & ENT Associates, P.A. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422001617 TX Part B Supplier - Clinic/Group Practice 4688660715 Receives reassigned benefits from 68 practitioners
8 other NPIs on this enrollment
Practice locations: Baytown, TX; Austin, TX; Webster, TX; The Woodlands, TX; Sugar Land, TX; Spring, TX; Richmond, TX; Pearland, TX…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1902820368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEARS ROAD",
            "address_2": "SUITE 420B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674509",
            "telephone_number": "281-453-4204",
            "fax_number": "281-874-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CIRCLE WAY",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-297-6503",
            "fax_number": "979-297-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ENT ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "deactivation_date": "2021-07-21",
        "reactivation_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "281-453-4204"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & ENT Associates, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.