Healthcare Provider Details

I. General information

NPI: 1265799662
Provider Name (Legal Business Name): PARKWAY ENT AND ALLERGY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2012
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23054 WESTHEIMER PKWY
KATY TX
77494-3596
US

IV. Provider business mailing address

23054 WESTHEIMER PKWY
KATY TX
77494-3596
US

V. Phone/Fax

Practice location:
  • Phone: 281-712-7241
  • Fax: 404-698-2510
Mailing address:
  • Phone: 281-712-7241
  • Fax: 404-698-2510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DAVID LEE SYCAMORE
Title or Position: CEO
Credential: MD
Phone: 281-712-7241