MEDICARE: SOUTHWEST ASTHMA & ALLERGY ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician		TX

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	:	1033139498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST ASTHMA & ALLERGY ASSOCIATES

Provider Business Mailing Address
First Line	:	902 FROSTWOOD DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2428
Country	:	US
Telephone Number	:	713-596-8526
Fax Number	:	713-596-8560

Provider Business Practice Location Address
First Line	:	902 FROSTWOOD DR STE 302
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2428
Country	:	US
Telephone Number	:	713-973-0051
Fax Number	:	713-973-7130

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MIKE SANDERS
Credential	:
Telephone Number	:	713-596-8500

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	02/25/2025

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Directions to “SOUTHWEST ASTHMA & ALLERGY ASSOCIATES ” Practice Location

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