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MCGOVERN ALLERGY CLINIC P.A. NPI 1194795450


NPI Information

NPI: 1194795450
Provider Name: MCGOVERN ALLERGY CLINIC, P.A.

Doing Business As: MCGOVERN ALLERGY AND ASTHMA CLINIC, P.A.

Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

CLIA Number: 45D0490653

Address:
4710 BELLAIRE BLVD
SUITE 200
BELLAIRE, TX
ZIP 77401
Phone: (713) 661-1444
Get Directions

MCGOVERN ALLERGY CLINIC, P.A. is a clinical and laboratory immunology allergy immunology in Bellaire, TX. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. MCGOVERN ALLERGY CLINIC, P.A. NPI is 1194795450. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcgovern Allergy And Asthma Clinic, P.a..

The provider's business location address is:

4710 BELLAIRE BLVD
SUITE 200
BELLAIRE, TX
ZIP 77401-526
Phone: (713) 661-1444
Fax: (713) 661-6604

The provider's authorized official is Dorrette Littleton .
The authorized official title is Office Manager and has the following contact phone number (713) 662-5573.

The CLIA number assigned to this NPI record is 45D0490653 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/26/2006 and was last updated on 12/30/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1082336101MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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