Healthcare Provider Details

I. General information

NPI: 1003217548
Provider Name (Legal Business Name): ALLERGY AND ASTHMA EXPERTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1810 E MEMORIAL RD
OKLAHOMA CITY OK
73131-1250
US

IV. Provider business mailing address

1810 E MEMORIAL RD
OKLAHOMA CITY OK
73131-1250
US

V. Phone/Fax

Practice location:
  • Phone: 405-607-4333
  • Fax: 405-607-4404
Mailing address:
  • Phone: 405-607-4333
  • Fax: 405-607-4404

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TIMOTHY DAVID TROJAN
Title or Position: PHYSICIAN / MANAGER
Credential: M.D.
Phone: 214-886-4800