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General NPI Number Information
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NPI Number | 1174642037
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Entity Type | Organization
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Legal Business Name | ALLERVIE HEALTH TEXAS PA
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 3502 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1308
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Country | US
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Telephone | 806-799-4192
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Fax | 806-799-6299
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Provider Business Mailing Address
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Address Line | 3502 22ND ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1308
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Country | US
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Telephone | 806-799-4192
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Fax | 806-799-6299
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Authorized Official
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Title or Position | REVENUE INTEGRITY ADMINISTRATOR
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Name | SAMUEL ALTMAN
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Credential |
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Telephone | 469-209-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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