Healthcare Provider Details

I. General information

NPI: 1598395477
Provider Name (Legal Business Name): CURE ALLERGY CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2020
Last Update Date: 01/20/2020
Certification Date: 01/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4120 N COLLINS ST STE 100
ARLINGTON TX
76005-4553
US

IV. Provider business mailing address

4120 N COLLINS ST STE 100
ARLINGTON TX
76005-4553
US

V. Phone/Fax

Practice location:
  • Phone: 817-678-5575
  • Fax:
Mailing address:
  • Phone: 817-678-5575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMED W IMAM
Title or Position: OWNER
Credential: DO
Phone: 817-678-5575