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Contact Information

ALLERGY EARS NOSE & THROAT OF GREENVILLE PA
3000 HORIZON RD
ROCKWALL, TX75032-5817
 Phone: 903-454-6481
 Fax: 903-454-6486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ALLERGY EARS NOSE THROAT OF GREENVILLE PA · (Female)

NPI # 1417039512
Status Active
Credentials
Entity Individual
Enumeration date 10/19/2006
Last updated 02/18/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 080065801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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