Dallas Ent and Allergy Center

NPI #1417198854 in Dallas, Texas

Provider Information

NPI Number: 1417198854
Entity Type: Organization
Organization Name: Dallas Ent and Allergy Center
Primary Specialty: Physician Assistant
Enumeration Date: Mar 16, 2009
Last Updated: Mar 16, 2009

Practice Location

Address: 221 W COLORADO BLVD
Address 2: PAV II SUITE 943
City: Dallas
State: Texas
ZIP Code: 75208-2363
Phone: (214) 946-3687

Authorized Official

Name: MS. SARA CARRILLO
Title: OFFICE MANAGER
Phone: (214) 946-3687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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