MEDICARE: DR. BINACA GAGLANI M.D.

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	J6445	TX

General Provider Information

NPI Number	:	1831194240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BINACA GAGLANI M.D.

Provider Business Mailing Address
First Line	:	2312 WESTERN TRAILS BLVD
Second Line	:	STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78745-1642
Country	:	US
Telephone Number	:	512-804-0000
Fax Number	:	512-804-0300

Provider Business Practice Location Address
First Line	:	2312 WESTERN TRAILS BLVD
Second Line	:	STE 101
City	:	AUSTIN
State	:	TX
Zip	:	78745-1642
Country	:	US
Telephone Number	:	512-804-0000
Fax Number	:	512-804-0300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	07/08/2007

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