All-american Allergy Asthma & Immunology Center | |
1303 Mccullough Ave Ste 362 San Antonio TX 78212-5620 | |
(210) 226-3500 | |
(210) 226-3638 |
Full Name | All-american Allergy Asthma & Immunology Center |
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Speciality | Allergy & Immunology |
Location | 1303 Mccullough Ave Ste 362, San Antonio, Texas |
Authorized Official Name and Position | Charles Calais (SOLE MEMBER) |
Authorized Official Contact | 2102263500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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All-american Allergy Asthma & Immunology Center 79 Raphael San Antonio TX 78258-1611 Ph: (504) 908-2428 | All-american Allergy Asthma & Immunology Center 1303 Mccullough Ave Ste 362 San Antonio TX 78212-5620 Ph: (210) 226-3500 |
NPI Number | 1356966287 |
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Provider Enumeration Date | 06/16/2020 |
Last Update Date | 06/16/2020 |
Medicare PECOS PAC ID | 2769805001 |
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Medicare Enrollment ID | O20200706001533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356966287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207KA0200X | Allergy & Immunology - Allergy | (* (Not Available)) | Primary |
Provider Name | Charles Calais |
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Provider Type | Practitioner - Allergy/immunology |
Provider Identifiers | NPI Number: 1831416197 PECOS PAC ID: 8325469166 Enrollment ID: I20200706001672 |
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