Texoma Allergy Group, Pllc

NPI #1679883755 in Denison, Texas

Provider Information

NPI Number: 1679883755
Entity Type: Organization
Organization Name: Texoma Allergy Group, Pllc
Primary Specialty: Specialist
Enumeration Date: Oct 7, 2010
Last Updated: Oct 7, 2010

Practice Location

Address: 5012 SOUTH US HIGHWAY 75
Address 2: SUITE 150
City: Denison
State: Texas
ZIP Code: 75020
Phone: (972) 398-3500

Authorized Official

Name: DR. JOHN A, VAN WAGONER, PA MD
Title: OWNER/PRESIDENT
Phone: (972) 398-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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