Southern Texas Allergy the Woodlands

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

SOUTHERN TEXAS ALLERGY THE WOODLANDS

Practice address

9191 Pinecroft Dr Ste 290
Shenandoah, TX 77380

Phone

(281) 363-3508

Fax

(281) 298-7787

NPI assigned

May 22, 2018

Organization subpart

No

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

Authorized official

Name

Robyn Wolf, MHA

Title

Credentialing

Phone

(512) 637-1797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1972094365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787202110",
            "telephone_number": "512-637-1797",
            "fax_number": "855-959-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR STE 290",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "77380",
            "telephone_number": "281-363-3508",
            "fax_number": "281-298-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TEXAS ALLERGY THE WOODLANDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "512-637-1797",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Allergy & Immunology Physician in Shenandoah, TX
• Providers in Shenandoah, 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 Jul 26, 2018; 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.