Allergy and Asthma Center of Duncanville, PA

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

ALLERGY AND ASTHMA CENTER OF DUNCANVILLE, PA

Practice address

626 W Wheatland Rd
Ste B
Duncanville, TX 75116-4587

Phone

(972) 709-6673

Fax

(972) 298-8590

NPI assigned

Jun 19, 2015

Organization subpart

No

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

Authorized official

Name

Presley M Mock, MD

Title

MD, Owner, Authorized Official

Phone

(214) 345-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Allergy & Asthma Center of Duncanville PA

  • Allergy & Immunology Physician
  • Duncanville, TX
  • NPI 1275542227

  O20060914000119

  Same enrollment

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harold Cariaga Delasalas, PHARMD, MD

  • Allergy & Immunology Physician
  • Duncanville, TX
  • NPI 1538329198
  NPD
• Jesse Astorga III, PA

  • Medical Physician Assistant
  • Duncanville, TX
  • NPI 1972119964
  NPD (past)
• Yassamin Nasr Azadani

  • Medical Physician Assistant
  • Duncanville, TX
  • NPI 1811835853
  NPD (past)
• Cuong Bui Nguyen, PA-C

  • Physician Assistant
  • Allen, TX
  • NPI 1184190803
  NPD (past)
• Anthony Huynh, PA-C

  • Physician Assistant
  • Southlake, TX
  • NPI 1649941402
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1942682539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W WHEATLAND RD",
            "address_2": "STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164587",
            "telephone_number": "972-709-6673",
            "fax_number": "972-298-8590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W WHEATLAND RD",
            "address_2": "STE B",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164587",
            "telephone_number": "972-709-6673",
            "fax_number": "972-298-8590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY AND ASTHMA CENTER OF DUNCANVILLE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "PRESLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD, OWNER, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "214-345-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207K00000X",
            "identifier": "H2615",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Duncanville, TX
• Providers in Duncanville, 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 Oct 24, 2017; 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.