Healthcare Provider Details
I. General information
NPI: 1134775216
Provider Name (Legal Business Name): TURNKEY ALLERGY SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12242 QUEENSTON BLVD STE E
HOUSTON TX
77095-5353
US
IV. Provider business mailing address
12242 QUEENSTON BLVD STE E
HOUSTON TX
77095-5353
US
V. Phone/Fax
- Phone: 713-252-3579
- Fax: 800-434-7514
- Phone: 713-252-3579
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207K00000X |
| Taxonomy | Allergy & Immunology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOHNNY
C.
GILBERT
Title or Position: CEO
Credential:
Phone: 713-252-3579