Healthcare Provider Details

I. General information

NPI: 1487367637
Provider Name (Legal Business Name): ABILENE ALLERGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HOSPITAL DR
ABILENE TX
79606-5269
US

IV. Provider business mailing address

3 HOSPITAL DR
ABILENE TX
79606-5269
US

V. Phone/Fax

Practice location:
  • Phone: 325-437-3600
  • Fax:
Mailing address:
  • Phone: 325-437-3600
  • Fax:

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 Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JAMI CHANCE
Title or Position: OFFICE MANAGER
Credential: CPA
Phone: 325-439-0037