MEDICARE: ALLERGY & ENT ASSOCIATES, PLLC

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	H2704	TX

General Provider Information

NPI Number	:	1720168750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY & ENT ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	450 GEARS RD
Second Line	:	SUITE 420B
City	:	HOUSTON
State	:	TX
Zip	:	77067-4509
Country	:	US
Telephone Number	:	281-874-0400
Fax Number	:	281-874-0212

Provider Business Practice Location Address
First Line	:	1850 W LAKE HOUSTON PKWY
Second Line	:	SUITE 100
City	:	KINGWOOD
State	:	TX
Zip	:	77339-5237
Country	:	US
Telephone Number	:	281-540-7764
Fax Number	:	281-359-3340

Authorized Official
Title or Position	:	PARTNER
Name	:	ENRIQUE T QUINTERO
Credential	:	M.D.
Telephone Number	:	281-364-1001

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	01/26/2022

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