ACCESS ALLERGY EAST TEXAS PLLC NPI 1427880608

NPI Information

  • NPI: 1427880608
  • Provider Name: ACCESS ALLERGY EAST TEXAS PLLC
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Organization
  • Address: 6115 NEW COPELAND RD STE 440
    TYLER, TX
    ZIP 75703
  • Phone: (903) 405-2055

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NPI Details

ACCESS ALLERGY EAST TEXAS PLLC is an allergy allergy immunology in Tyler, TX. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee ACCESS ALLERGY EAST TEXAS PLLC NPI is 1427880608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6115 NEW COPELAND RD STE 440
TYLER, TX
ZIP 75703-360
Phone: (903) 405-2055

The provider's authorized official is Todd Funkhouser .
The authorized official title is Medical Director and has the following contact phone number (915) 471-1857.

The enumeration date for this NPI number is 8/16/2024 and was last updated on 2/13/2025.

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
1207KA0200XAllergy & ImmunologyAllergyYes

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: 3/30/2025

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