Healthcare Provider Details

I. General information

NPI: 1821758525
Provider Name (Legal Business Name): US ALLERGY & ASTHMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2021
Last Update Date: 04/09/2023
Certification Date: 04/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 STATE HIGHWAY 121 STE 910
FRISCO TX
75035-9347
US

IV. Provider business mailing address

11500 STATE HIGHWAY 121 STE 910
FRISCO TX
75035-9347
US

V. Phone/Fax

Practice location:
  • Phone: 469-200-2605
  • Fax: 469-200-2606
Mailing address:
  • Phone: 469-200-2605
  • Fax: 469-200-2605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NAVEEN SIKKA
Title or Position: OWNER
Credential: MD
Phone: 469-200-2605