Provider Demographics
NPI:1427234178
Name:ALLERGY & ASTHMA CARE OF HOUSTON, PA
Entity type:Organization
Organization Name:ALLERGY & ASTHMA CARE OF HOUSTON, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-645-6401
Mailing Address - Street 1:14090 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3677
Mailing Address - Country:US
Mailing Address - Phone:281-645-6401
Mailing Address - Fax:281-277-8872
Practice Address - Street 1:14090 SOUTHWEST FWY
Practice Address - Street 2:SUITE 306
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3677
Practice Address - Country:US
Practice Address - Phone:281-645-6401
Practice Address - Fax:281-277-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-11
Last Update Date:2010-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK8965207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH15020Medicare UPIN
TX00180ZMedicare PIN