East Memphis Allergy And Asthma

LBN: East Memphis Allergy And Asthma
East Memphis Allergy And Asthma is an health care organization with primary practice located at 3085 Fountainside Dr Suite 202, Germantown TN 38138-7842. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as the primary health care specialty. East Memphis Allergy And Asthma can be contacted via phone (901) 755-0550, or through Mirro, Betty Van Hooser via phone (901) 755-0550.

Contact Information

Primary practice address
3085 Fountainside Dr Suite 202 Germantown TN 38138-7842
Phone: (901) 755-0550
Fax: (901) 755-0474
Website:
Map and Directions
Authorized official contact:
Name: Mirro, Betty Van Hooser Doctor of Medicine (MD)
Phone: (901) 755-0550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X

Profile Details

NPI number 1447454319
LBN Legal business name East Memphis Allergy And Asthma
DBA Doing business as
Authorized official Mirro, Betty Van Hooser Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 8th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447454319 NPPES
Tennessee MEDICAID 3370933

Popular Providers