1013002732 NPI number — ALLERGY & ASTHMA PHYSICIANS OF ARLINGTON, P.A.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013002732 NPI number — ALLERGY & ASTHMA PHYSICIANS OF ARLINGTON, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALLERGY & ASTHMA PHYSICIANS OF ARLINGTON, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALLERGY & ASTHMA CENTRES OF THE METROPLEX
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1013002732
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5421 MATLOCK RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76018-1532
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-460-7447
Provider Business Mailing Address Fax Number:
817-461-0809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5421 MATLOCK RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76018-1532
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-460-7447
Provider Business Practice Location Address Fax Number:
817-461-0809
Provider Enumeration Date:
10/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
APALISKI
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
817-460-7447

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0042EV . This is a "BLUE CROSS BLUE SHIELD" identifier . This identifiers is of the category "OTHER".




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