DALLAS ALLERGY AND ASTHMA CENTER
Osteopathic Medicine at Glen Lakes Dr, Dallas, TX

License number
Texas D6588, G6386
Category
Osteopathic Medicine
Type
Allergy
Owner
Name: YVETTE CORDOVA
Title: PRACTICE MANAGER
Phone: (214) 691-1330
Address
Address
5499 Glen Lakes Dr #100, Dallas, TX 75231
National Provider ID: 1285701102
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DALLAS ALLERGY AND ASTHMA CENTER, PA

5499 Gln Lk Dr STE 100, Dallas, TX 75231

Doing business as:
Dallas Allergy and Asthma Center<br>Dallas Allergy and Asthma Center, PA<br>Dallas Allergy Clinic<br>Gary N. Gross, M.D., PA
Registration:
Nov 30, 1979
State ID:
0080555203
Business type:
Professional Association
Member , Vice-President , Directors:
Gary N. Gross (President , Member , Director),Michael E. Ruff (Member , Vice-President , Director)
Agent:
Gary Gross,5499 Gln Lk Dr, Dallas, TX 75231 (Physical)
TIN:
30004721111

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