MEDICARE: ALLERGY AND ASTHMA CENTER ADULTS AND CHILDREN P LLC

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	174400000X	Specialist	K0732	TX

General Provider Information

NPI Number	:	1790880268
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLERGY AND ASTHMA CENTER ADULTS AND CHILDREN P LLC

Provider Business Mailing Address
First Line	:	8941 COIT RD
Second Line	:	SUITE #100
City	:	PLANO
State	:	TX
Zip	:	75024-7209
Country	:	US
Telephone Number	:	972-668-2200
Fax Number	:	972-668-2206

Provider Business Practice Location Address
First Line	:	8941 COIT RD
Second Line	:	SUITE #100
City	:	PLANO
State	:	TX
Zip	:	75024-7209
Country	:	US
Telephone Number	:	972-668-2200
Fax Number	:	972-668-2206

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALY A EL-HAG
Credential	:	M.D., PHD.
Telephone Number	:	972-668-2200

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	08/22/2020

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