MEDICARE: ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	207KA0200X	Allergy Physician
3	207K00000X	Allergy & Immunology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023175239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY, ASTHMA & IMMUNOLOGY ASSOCIATES OF SOUTH TEXAS, P.A.

Provider Business Mailing Address
First Line	:	2424 BABCOCK RD STE 301
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6031
Country	:	US
Telephone Number	:	210-616-0882
Fax Number	:	210-692-7833

Provider Business Practice Location Address
First Line	:	2424 BABCOCK RD STE 301
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-6031
Country	:	US
Telephone Number	:	210-616-0882
Fax Number	:	210-692-7833

Authorized Official
Title or Position	:	CHIEF HUMAN RESOURCE OFFICER
Name	:	DR. TATIANA SCSCHEVA-JOHNSON
Credential	:
Telephone Number	:	770-501-1343

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	01/29/2025

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