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Page 1: Dear Member - Pan American Allergy Societywp.paas.org/wp-content/uploads/2019/07/MemberDirectory_201907… · chem chemical pfc provocative food challenge ELISA Enzyme Linked Immuno
Page 2: Dear Member - Pan American Allergy Societywp.paas.org/wp-content/uploads/2019/07/MemberDirectory_201907… · chem chemical pfc provocative food challenge ELISA Enzyme Linked Immuno

2

Dear Member:

This directory of the Pan American Allergy Society is divided into the following categories:

Alphabetical listing by State Name: P.A.A.S. members, including affiliate members, in the U.S.

Foreign Members: P.A.A.S. members who are M.D.’s and D.O.’s living outside the U.S. (Listed on the last three pages of directory)

Member physicians practice allergy using the diagnostic methods listed on the inside cover of this directory. Although such a list can never be totally accurate, we have endeavored to provide current information and hope it will prove helpful in referring patients for continued care. For accurate referrals, keep us informed of changes in testing methods as well as changes in addresses and telephone numbers.

FOR MEMBERSHIP INFORMATION, please contact the Pan American Allergy Society office.

Howard J. Lang, D.O. Secretary/Treasurer

Pan American Allergy Society 1317 Wooded Knoll

San Antonio, TX 78258

210-495-9853 ● 210-495-9852 Fax

Email: [email protected]

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3

Website: www.paas.org

KEY TO DIRECTORY LISTING

1. STATE & ABBREVIATION 2. CITY 3. MEMBER NAME 4. LOCAL TELEPHONE 5. FAX NUMBER

6. E-MAIL ADDRESS 7. MAILING ADDRESS 8. ZIP CODE 9. MEDICAL SPECIALTY 10. TESTING METHODS

MEDICAL SPECIALTIES A Allergy D Dermatology EM Environmental Medicine EN Ear, Nose & Throat FP Family Practice FPS Facial Plastic Surgery GP General Practice GPM General Preventive Medicine HNS Head-Neck Surgery IG Immunology IM Internal Medicine NTR Nutrition OBG Obstetrics/Gynecology OPH Ophthalmology OT Otology OTO Otolaryngology P Psychiatry PD Pediatrics PDA Pediatric Allergy PATH Pathology PULM Pulmonology RHI Rhinology RHU Rheumatology SURG Surgery

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4

DIAGNOSTIC METHOD ABBREVIATIONS id intradermal sl sublingual pid provocative intradermal psl provocative sublingual ed elimination diet rd rotary diet chal challenge chem chemical pfc provocative food challenge ELISA Enzyme Linked Immuno Sorbent Assay FAST Fluorescent Allergo Sorbent Test MQT Modified Quantitative Testing MULTI-TEST Multiple Allergen Simultaneous Testing PIFT Provocative Intradermal Food Test RAST Radio Allergo Sorbent Test RIA Radio Immuno Assay SET Serial Endpoint Titration SPT Skin Prick Test THABEST Third Heir Biotin Enzyme System Test

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MemberDirectory_20190709_United States

State_Province Alabama

Last McLeod

First F.

Middle Anthony

Degree MD

Phone (256) 329‐1114

Fax 256‐329‐3339

Address 3368 Hwy. 280, #G‐15

Address2

City Alexander City

ZIP_Postal Code 35010

Country_Region USA

Testing_Methods

Specialty OTO

State_Province Alabama

Last Miller

First Melanie

Middle M

Degree MD

Phone 205‐655‐2110

Fax 205‐655‐7020

Address 159 Main St.

Address2

City Trussville

ZIP_Postal Code 35173

Country_Region USA

Testing_Methods id; pn

Specialty FP

Wednesday, July 10, 2019 Page 1 of 154

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State_Province Alabama

Last Morgan

First Alice

Middle H.

Degree MD

Phone 205‐933‐9236

Fax

Address 833 St. Vincent's Dr.

Address2 Bldg. 3, #402

City Birmingham

ZIP_Postal Code 35205

Country_Region USA

Testing_Methods id; ELISA; pn; ed; RAST

Specialty OTO

State_Province Alabama

Last Hill

First Loretta

Middle P.

Degree LPN

Phone 205‐980‐2091

Fax 205‐980‐2196

Address Alabama Nasal & Sinus Ctr.

Address2 7191 Cahaba Valley Rd., #301

City Birmingham

ZIP_Postal Code 35242

Country_Region USA

Testing_Methods id; pid; pnsl; in vitro; ed

Specialty OTO

Wednesday, July 10, 2019 Page 2 of 154

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State_Province Alabama

Last Boyd

First Edwyn

Middle L

Degree MD

Phone 205‐733‐9595

Fax 205‐733‐9599

Address 2116 Data Park

Address2

City Hoover

ZIP_Postal Code 35244

Country_Region USA

Testing_Methods id; ed; oral chall; ImmunoCap

Specialty ENT

State_Province Alabama

Last Sciacca

First Robert

Middle J

Degree MD

Phone 205‐985‐7393

Fax 205‐987‐1332

Address 4501 Southlake Pkwy, #200

Address2

City Birmingham

ZIP_Postal Code 35244

Country_Region USA

Testing_Methods id; pid; RAST; MQT; IDT; ed; oral chall

Specialty OTO

Wednesday, July 10, 2019 Page 3 of 154

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State_Province Alabama

Last Shotts, Jr.

First James

Middle E.

Degree MD

Phone 205‐758‐9041

Fax 205‐759‐5259

Address 1300 McFarland Blvd. NE, #150

Address2

City Tuscaloosa

ZIP_Postal Code 35406

Country_Region USA

Testing_Methods id; RAST; ed; oral chall

Specialty OTO; A

State_Province Alabama

Last Pearson

First Nicole

Middle

Degree

Phone 205‐758‐9041

Fax

Address c/o James E. Shotts, MD

Address2 1300 McFarland Blvd. NE, #150

City Tuscaloosa

ZIP_Postal Code 35406

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 4 of 154

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State_Province Alabama

Last Humphrey

First Kelli

Middle

Degree

Phone 286‐571‐8450

Fax

Address c/o James Masdon MD

Address2 602 Corley Ave.

City Boaz

ZIP_Postal Code 35956

Country_Region USA

Testing_Methods SET; RAST

Specialty

State_Province Alabama

Last Masdon

First James

Middle

Degree MD

Phone 256‐571‐8450

Fax 256‐840‐4584

Address 602 Corley Avenue

Address2

City Boaz

ZIP_Postal Code 35957

Country_Region USA

Testing_Methods id; RAST

Specialty ENT

Wednesday, July 10, 2019 Page 5 of 154

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State_Province Alabama

Last Chapman

First Alan

Middle Craig

Degree MD

Phone 334‐272‐8644

Fax

Address 1773 Platt Place

Address2

City Montgomery

ZIP_Postal Code 36117

Country_Region USA

Testing_Methods

Specialty

State_Province Alabama

Last Allen

First Teresa

Middle

Degree DO

Phone 334‐273‐0904

Fax 334‐273‐0905

Address 7047 Halcyon Park Drive

Address2

City Montgomery

ZIP_Postal Code 36117

Country_Region USA

Testing_Methods

Specialty IM

Wednesday, July 10, 2019 Page 6 of 154

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State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Alabama

Brock

Larry

D

MD

Address2

City Mobile

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

36608

USA

Retired

A; OTO

State_Province Alaska

Last Harmon

First Jason

Middle

Degree ND

Phone 907‐770‐6700

Fax 907‐770‐6707

Address 915 W. Northern Lights Blvd.

Address2

City Anchorage

ZIP_Postal Code 99503

Country_Region USA

Testing_Methods id; pnid; pnsl; ed

Specialty Allergy

Wednesday, July 10, 2019 Page 7 of 154

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State_Province

Last

First

Middle

Degree

Phone

Arizona

Mohr

Rhonda

B.

NCMA

623‐512‐4379

Fax

Address c/o Daniel Charous, MD

Address2 13555 W. McDowell Rd., #209

City Goodyear

ZIP_Postal Code 85395

Country_Region USA

Testing_Methods pnsl

Specialty

State_Province Arizona

Last Vaughan

First Oladiji

Middle

Degree MD

Phone 602‐734‐5509

Fax 877‐281‐3385

Address 270 E. Hunt Hwy., #18

Address2

City San Tan Valley

ZIP_Postal Code 85143

Country_Region USA

Testing_Methods id; pn; pid; ed

Specialty PD

Wednesday, July 10, 2019 Page 8 of 154

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State_Province Arizona

Last Nwosu

First Chikwendu (Chris)

Middle

Degree MD

Phone 917‐474‐0025

Fax

Address 3846 E. Lafayette Ave.

Address2

City Gilbert

ZIP_Postal Code 85298

Country_Region USA

Testing_Methods None listed

Specialty

State_Province Arizona

Last Thorson

First Yvette

Middle

Degree PA‐C

Phone

Fax

Address 27527 N. 171st Dr.

Address2

City Surprise

ZIP_Postal Code 85387

Country_Region USA

Testing_Methods pid; psl

Specialty

Wednesday, July 10, 2019 Page 9 of 154

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State_Province Arizona

Last Charous

First Daniel

Middle

Degree MD

Phone 623‐512‐4199

Fax

Address Arizona Desert ENT

Address2 13555 W. McDowell Rd., #209

City Goodyear

ZIP_Postal Code 85395

Country_Region USA

Testing_Methods None listed

Specialty

State_Province Arizona

Last White

First Amy

Middle

Degree BSN

Phone 623‐512‐4199

Fax

Address c/o Daniel Charous, MD

Address2 13555 W. McDowell Rd., #209

City Goodyear

ZIP_Postal Code 85395

Country_Region USA

Testing_Methods pnsl

Specialty

Wednesday, July 10, 2019 Page 10 of 154

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State_Province Arizona

Last Morris

First Mercedes

Middle

Degree FNP

Phone 623‐512‐4199

Fax

Address Arizona Desert ENT

Address2 13555 W. McDowell Rd., #209

City Goodyear

ZIP_Postal Code 85395

Country_Region USA

Testing_Methods pnsl

Specialty

State_Province Arkansas

Last Walker

First Randy

Middle D

Degree MD

Phone 870‐584‐3000

Fax 870‐584‐3003

Address P.O. Box 740

Address2

City DeQueen

ZIP_Postal Code 71832

Country_Region USA

Testing_Methods id; psl; pn; pnsl; edl; ed

Specialty FP; A

Wednesday, July 10, 2019 Page 11 of 154

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State_Province Arkansas

Last Dowdy

First Stacy

Middle R.

Degree RN

Phone

Fax

Address c/o Howard Memorial Hospital

Address2 130 Medical Circle

City Nashville

ZIP_Postal Code 71852

Country_Region USA

Testing_Methods

Specialty

State_Province Arkansas

Last Oxner

First Troy

Middle W.

Degree DO

Phone 501‐767‐1144

Fax 501‐767‐4455

Address 2605 Albert Pike

Address2

City Hot Springs

ZIP_Postal Code 71913

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; sl; ed; oral chall

Specialty

Wednesday, July 10, 2019 Page 12 of 154

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State_Province Arkansas

Last Hashmi

First Salman

Middle F.

Degree MD

Phone 501‐803‐9990

Fax 501‐803‐9991

Address Maumelle Medical Center

Address2 501 Millwood Ct., #E

City Maumelle

ZIP_Postal Code 72113

Country_Region USA

Testing_Methods id

Specialty FP

State_Province

Last

First

Middle

Degree

Phone

Arkansas

Hedges

Harold

H

MD

Fax

Address

Address2

City Roland

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

72135

USA

Retired

FP

Wednesday, July 10, 2019 Page 13 of 154

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State_Province Arkansas

Last Stanley

First Kelly

Middle

Degree PharmD

Phone 501‐305‐4108

Fax

Address 2413 West Beebe‐Capps Expy.

Address2

City Searcy

ZIP_Postal Code 72143

Country_Region USA

Testing_Methods sl

Specialty Pharm

State_Province Arkansas

Last Pope

First Mark

Middle J.

Degree MD

Phone 870‐942‐1301

Fax 870‐942‐1305

Address 651 Heritage Dr.

Address2

City Sheridan

ZIP_Postal Code 72150

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 14 of 154

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State_Province Arkansas

Last Staten

First Karan

Middle

Degree MS, RD, LD

Phone 501‐680‐6452

Fax

Address 5012 Stonewall Rd.

Address2

City Little Rock

ZIP_Postal Code 72207

Country_Region USA

Testing_Methods ed; oral chall

Specialty

State_Province Arkansas

Last Kennedy

First Robert

Middle B

Degree MD

Phone 501‐219‐1929

Fax 501‐219‐0021

Address Chenal Family Practice

Address2 11215 Hermitage Rd., #103

City Little Rock

ZIP_Postal Code 72211

Country_Region USA

Testing_Methods MQT

Specialty FP

Wednesday, July 10, 2019 Page 15 of 154

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State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Arkansas

McGrew

Robert

N

MD

Address2

City Little Rock

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

72212

USA

Retired

OTO; A

State_Province Arkansas

Last Hendrix

First Lisa

Middle M

Degree MD

Phone 870‐236‐3388

Fax 870‐236‐2656

Address 2709 W. Kingshighway, #8

Address2

City Paragould

ZIP_Postal Code 72450

Country_Region USA

Testing_Methods prick

Specialty A; Wellness

Wednesday, July 10, 2019 Page 16 of 154

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State_Province California

Last Tran

First Jessica

Middle

Degree ND

Phone 949‐551‐8751

Fax

Address 14795 Jeffrey Road, #101

Address2

City Irvine

ZIP_Postal Code 92618

Country_Region USA

Testing_Methods id; pid; psl; pdpn; pnsl; ed; oral chall

Specialty

State_Province California

Last Lares

First Sandra

Middle

Degree LVN

Phone 818‐203‐8778

Fax

Address 5323 Colodny Dr., Unit 101

Address2

City Agoura Hills

ZIP_Postal Code 93101

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 17 of 154

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State_Province California

Last Seltzer

First Christine

Middle

Degree RN

Phone 805‐688‐7079

Fax

Address 1337 Highland Rd.

Address2

City Santa Ynez

ZIP_Postal Code 93460

Country_Region USA

Testing_Methods

Specialty None listed

State_Province

Last

First

Middle

Degree

Phone

California

MacLean

Robert

G

MD

Fax

Address

Address2

City Los Gatos

ZIP_Postal Code 95030

Country_Region USA

Testing_Methods Retired

Specialty A; OTO

Wednesday, July 10, 2019 Page 18 of 154

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State_Province California

Last Trevino

First Richard

Middle J

Degree MD

Phone 408‐926‐5300

Fax 408‐926‐5395

Address 175 N. Jackson Ave., #200

Address2

City San Jose

ZIP_Postal Code 95116

Country_Region USA

Testing_Methods id; pid; ed; RAST

Specialty OTO; A

State_Province California

Last Lombardo

First Christopher

Middle

Degree MD

Phone 707‐995‐4518

Fax

Address 15230 Lakeshore Dr.

Address2

City Clearlake

ZIP_Postal Code 95422

Country_Region USA

Testing_Methods pid

Specialty OTO

Wednesday, July 10, 2019 Page 19 of 154

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State_Province Colorado

Last Fillerup

First Selvoy

Middle M.

Degree MD

Phone 720‐219‐2680

Fax

Address 8215 South Emerson Way

Address2

City Littleton

ZIP_Postal Code 80122

Country_Region USA

Testing_Methods ipid; psl; skin prick; ed

Specialty OTO

State_Province Colorado

Last Schindel

First Michael

Middle

Degree MD

Phone 303‐936‐0022

Fax 303‐936‐5262

Address 7444 W. Alaska Dr. #200

Address2

City Lakewood

ZIP_Postal Code 80226

Country_Region USA

Testing_Methods pnid; pnsl; in vitro

Specialty FP

Wednesday, July 10, 2019 Page 20 of 154

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State_Province Colorado

Last Smith

First Neil

Middle

Degree PA‐C

Phone 720‐352‐3137

Fax

Address 1712 Daily Drive

Address2

City Erie

ZIP_Postal Code 80516

Country_Region USA

Testing_Methods id; ELISA; ed

Specialty None listed

State_Province Colorado

Last Brown

First Larry

Middle

Degree AT

Phone 970‐221‐2357

Fax

Address Alpine Allergy Clinic

Address2 1124 E. Elizabeth St., #E101

City Fort Collins

ZIP_Postal Code 80521

Country_Region USA

Testing_Methods id; MQT

Specialty None listed

Wednesday, July 10, 2019 Page 21 of 154

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State_Province Colorado

Last Bender

First John

Middle L.

Degree MD

Phone (970) 482‐0213

Fax

Address 4674 Snow Mesa Dr., #140

Address2

City Ft. Collins

ZIP_Postal Code 80528

Country_Region USA

Testing_Methods

Specialty

State_Province Colorado

Last Lowther

First Kelly

Middle

Degree MD

Phone 970‐482‐0213

Fax

Address Miramont Family Medicine

Address2 4674 Snow Mesa Dr., #140

City Fort Collins

ZIP_Postal Code 80528

Country_Region USA

Testing_Methods None listed

Specialty None listed

Wednesday, July 10, 2019 Page 22 of 154

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State_Province Connecticut

Last Amara

First Matthew

Middle

Degree DO

Phone 203‐740‐4455

Fax 203‐740‐4477

Address 31 Old Route 7, #3

Address2

City Brookfield

ZIP_Postal Code 06804

Country_Region USA

Testing_Methods

Specialty

State_Province Florida

Last Hole

First Susan

Middle

Degree DO

Phone 386‐423‐1888

Fax 386‐423‐2030

Address 346 N. Ridgewood Ave. #A

Address2

City Edgewater

ZIP_Postal Code 32132

Country_Region USA

Testing_Methods id; pn; ed; oral chall; rd

Specialty FP; A

Wednesday, July 10, 2019 Page 23 of 154

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State_Province Florida

Last Foster

First Paul

Middle K

Degree MD

Phone 305‐558‐3724

Fax 305‐532‐3040

Address 8181 NW 154th St., #200

Address2

City Miami Lakes

ZIP_Postal Code 33016

Country_Region USA

Testing_Methods None listed

Specialty ENT

State_Province Florida

Last Stefanik

First Thomas

Middle J

Degree MD

Phone

Fax

Address

Address2

City Marco Island

ZIP_Postal Code 34145

Country_Region USA

Testing_Methods Retired

Specialty ENT; A

Wednesday, July 10, 2019 Page 24 of 154

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State_Province Georgia

Last Odusina

First Bolanji

Middle

Degree MD

Phone 678‐442‐0205

Fax

Address 1155 Lawrenceville Suwanne Rd.

Address2

City Lawrenceville

ZIP_Postal Code 30043

Country_Region USA

Testing_Methods None listed

Specialty None listed

State_Province Georgia

Last Mafoueka‐Nguena

First Victorine

Middle

Degree MD

Phone 678‐380‐8433

Fax 678‐380‐8437

Address 3664 Club Drive, #201

Address2

City Lawrenceville

ZIP_Postal Code 30044

Country_Region USA

Testing_Methods id; pid; ed

Specialty IM

Wednesday, July 10, 2019 Page 25 of 154

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State_Province Georgia

Last Sesay

First Minkailu

Middle

Degree MD

Phone 678‐205‐2035

Fax 770‐685‐6848

Address 2227 Idlewood Rd.

Address2

City Tucker

ZIP_Postal Code 30084

Country_Region USA

Testing_Methods id; ImmunoCap

Specialty FP

State_Province Georgia

Last Warner

First Dawn

Middle

Degree CMT, CME

Phone 770‐564‐1399

Fax

Address c/o Lisa C. Robbins, MD

Address2 1324 Rockbridge Rd.

City Stone Mountain

ZIP_Postal Code 30087

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 26 of 154

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State_Province Georgia

Last Robbins

First Lisa

Middle C.

Degree MD

Phone 770‐564‐1399

Fax

Address 1324 Rockbridge Rd.

Address2

City Stone Mountain

ZIP_Postal Code 30087

Country_Region USA

Testing_Methods

Specialty None listed

State_Province Idaho

Last Morris

First Joshua

Middle J.

Degree MD

Phone 208‐827‐6567

Fax

Address 5031 Cavendish Hwy.

Address2

City Lenore

ZIP_Postal Code 83541

Country_Region USA

Testing_Methods LDA

Specialty FP

Wednesday, July 10, 2019 Page 27 of 154

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State_Province Idaho

Last Graves

First Vanessa

Middle

Degree MD

Phone 208‐772‐0785

Fax

Address 8181 Cornerstone Dr.

Address2

City Hayden

ZIP_Postal Code 83835

Country_Region USA

Testing_Methods id; pid; psl; in vitro; MQT

Specialty FP

State_Province Illinois

Last Usman

First Anjum

Middle

Degree MD

Phone

Fax

Address True Health Medical Center

Address2 603 E Diehl Rd., #315

City Naperville

ZIP_Postal Code 60563

Country_Region USA

Testing_Methods None listed

Specialty

Wednesday, July 10, 2019 Page 28 of 154

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State_Province Illinois

Last Jerabek

First Jason

Middle B.

Degree DO

Phone 217‐281‐0024

Fax 217‐345‐7146

Address 506 W. Lincoln Ave.

Address2 #A and #B

City Charleston

ZIP_Postal Code 61920

Country_Region USA

Testing_Methods ed; RAST

Specialty

State_Province Illinois

Last Degironne

First Alana

Middle

Degree RN

Phone 217‐259‐1603

Fax

Address 5165 Lake Rd.

Address2

City Mattoon

ZIP_Postal Code 61938‐8719

Country_Region USA

Testing_Methods pid; psl; prick

Specialty

Wednesday, July 10, 2019 Page 29 of 154

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State_Province Indiana

Last Hyde

First Gregory

Middle E.

Degree MD, PhD

Phone 936‐585‐0555

Fax

Address 12890 Old Meridian St., #440

Address2

City Carmel

ZIP_Postal Code 46032

Country_Region USA

Testing_Methods pd; IgE; SLIT; pn; pnsl; ed; oral chall

Specialty OTO

State_Province Indiana

Last Beach

First Jeffrey

Middle

Degree MD

Phone 317‐844‐5656

Fax 317‐575‐3795

Address 12065 Old Meridian St.

Address2 #205

City Carmel

ZIP_Postal Code 46032

Country_Region USA

Testing_Methods RAST; MQT; SCIT; SLIT

Specialty OTO

Wednesday, July 10, 2019 Page 30 of 154

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State_Province Indiana

Last Gutt

First Jason

Middle J

Degree MD

Phone 317‐882‐4288

Fax 317‐881‐4177

Address Otolaryngology Associates

Address2 9002 N. Meridian St., #222

City Indianapolis

ZIP_Postal Code 46260

Country_Region USA

Testing_Methods id; ed; SCIT; SLIT

Specialty OTO; HD&NECK

State_Province Indiana

Last Waters

First Steven

Middle M

Degree MD, PhD

Phone 765‐965‐1977

Fax 765‐965‐1311

Address 1913 Chester Road

Address2

City Richmond

ZIP_Postal Code 47374

Country_Region USA

Testing_Methods id; pid; pn; ed; oral chall

Specialty OTO

Wednesday, July 10, 2019 Page 31 of 154

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State_Province Indiana

Last Sanders

First Scott

Middle

Degree MD, PhD

Phone 765‐807‐7100

Fax 765‐807‐7101

Address 3721 Rome Dr., #A

Address2

City Lafayette

ZIP_Postal Code 47905

Country_Region USA

Testing_Methods in vitro; psl; ed

Specialty Neurology

State_Province Kansas

Last Puckett

First Amanda

Middle

Degree CMA

Phone 913‐764‐2737

Fax

Address c/o Bruce Zimmerman, MD

Address2 20375 W. 151st St., #106

City Olathe

ZIP_Postal Code 66061

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 32 of 154

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State_Province Kansas

Last Harwick

First Christi

Middle

Degree MA

Phone 913‐957‐0615

Fax

Address 8137 Perry St., #56

Address2

City Overland Park

ZIP_Postal Code 66204

Country_Region USA

Testing_Methods

Specialty

State_Province Kansas

Last Whitaker

First Kimberly

Middle

Degree ASN

Phone 620‐421‐0002

Fax

Address Dixit Pediatrics

Address2 1902 S. US Hwy. 59, #5

City Parsons

ZIP_Postal Code 67357

Country_Region USA

Testing_Methods pid; psl

Specialty

Wednesday, July 10, 2019 Page 33 of 154

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State_Province Kansas

Last Hess

First Katrina

Middle

Degree MD

Phone 785‐628‐7495

Fax 785‐628‐3262

Address 2201 Canterbury Drive

Address2

City Hays

ZIP_Postal Code 67601

Country_Region USA

Testing_Methods ed

Specialty FP

State_Province Kentucky

Last McDaniel

First Alan

Middle

Degree MD

Phone 502‐294‐9053

Fax 502‐883‐4990

Address 2807 Newburg Rd.

Address2

City Louisville

ZIP_Postal Code 40205

Country_Region USA

Testing_Methods Ige; IgG; oral chall; endo bal nut

Specialty OTO

Wednesday, July 10, 2019 Page 34 of 154

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State_Province

Last

First

Middle

Degree

Phone

Kentucky

Richmond

Roland

W

MD

Fax

Address

Address2

City Louisville

ZIP_Postal Code

Country_Region

Testing_Methods

40205

USA

Retired

Specialty

State_Province Kentucky

Last Womack

First Glenn

Middle R

Degree MD

Phone 606‐849‐2323

Fax 606‐849‐2025

Address 732 Elizaville Rd.

Address2 P.O. Box 344

City Flemingsburg

ZIP_Postal Code 41041

Country_Region USA

Testing_Methods pid; psl

Specialty FP

Wednesday, July 10, 2019 Page 35 of 154

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State_Province Kentucky

Last Haley

First Joann

Middle

Degree

Phone

AT

Fax

Address

Address2

City Jamestown

ZIP_Postal Code

Country_Region

Testing_Methods

42629

USA

Specialty

State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Louisiana

Montgomery

A.

Denbo

MD

Address2

City Lafayette

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

70503

USA

Retired

OTO; A

Wednesday, July 10, 2019 Page 36 of 154

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State_Province Louisiana

Last Proctor

First Joe

Middle

Degree MD

Phone 337‐364‐0408

Fax 337‐365‐7601

Address 520 N. Lewis St., #204

Address2

City New Iberia

ZIP_Postal Code 70563

Country_Region USA

Testing_Methods in vitro

Specialty FP

State_Province Louisiana

Last Gonzales

First Jose

Middle

Degree MD

Phone 337‐625‐0341

Fax 888‐972‐8910

Address 2509 Maplewood Drive

Address2

City Sulphur

ZIP_Postal Code 70663

Country_Region USA

Testing_Methods id; pid; psl

Specialty FP

Wednesday, July 10, 2019 Page 37 of 154

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State_Province Louisiana

Last Pearson

First Melissa

Middle

Degree LPN

Phone 318‐226‐9441

Fax

Address ENT Center

Address2 2121 Line Avenue

City Shreveport

ZIP_Postal Code 71104

Country_Region USA

Testing_Methods id; MQT

Specialty

State_Province Maryland

Last Hasslinger

First Brian

Middle J

Degree MD

Phone 240‐964‐4851

Fax 240‐964‐4849

Address 625 Kent Avenue, #206

Address2

City Cumberland

ZIP_Postal Code 21502

Country_Region USA

Testing_Methods id; pid; psl; RAST; pnid; pnsl; ed; oral chall

Specialty ENT; A

Wednesday, July 10, 2019 Page 38 of 154

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State_Province Massachusetts

Last Hernandez

First Jennifer

Middle

Degree CCMA

Phone 774‐261‐8682

Fax

Address Meadowbrook Medical Group

Address2 354 W. Boylston St., #228

City West Boylston

ZIP_Postal Code 01583

Country_Region USA

Testing_Methods None listed

Specialty

State_Province Massachusetts

Last LaCava

First N.

Middle Thomas

Degree MD

Phone 508‐854‐1380

Fax 508‐854‐0446

Address 360 West Boylston St.

Address2

City W. Boylston

ZIP_Postal Code 01583

Country_Region USA

Testing_Methods pid; pnid; ed

Specialty Env. Med; PED

Wednesday, July 10, 2019 Page 39 of 154

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State_Province Massachusetts

Last Maduakor

First Emmanuel

Middle

Degree MD

Phone 774‐261‐8682

Fax

Address 19 Navajo Rd.

Address2

City Worcester

ZIP_Postal Code 01606

Country_Region USA

Testing_Methods

Specialty IM

State_Province Michigan

Last Zettelmaier

First John

Middle L

Degree MD

Phone

Fax

Address

Address2

City Chelsea

ZIP_Postal Code 48118

Country_Region USA

Testing_Methods Retired

Specialty FP; A

Wednesday, July 10, 2019 Page 40 of 154

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State_Province Michigan

Last Colton

First Kenneth

Middle

Degree DO

Phone 734‐522‐7000

Fax 734‐522‐7012

Address 400 N. Wayne Rd.

Address2

City Westland

ZIP_Postal Code 48185

Country_Region USA

Testing_Methods id;pn;ed

Specialty FP

State_Province Michigan

Last Dandamudi

First Rajesh

Middle

Degree MD

Phone 989‐893‐5541

Fax 989‐893‐5543

Address 714 S. Trumbull

Address2

City Bay City

ZIP_Postal Code 48708

Country_Region USA

Testing_Methods id; RAST

Specialty IM

Wednesday, July 10, 2019 Page 41 of 154

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State_Province Mississippi

Last Kirk

First Kecia

Middle

Degree MD

Phone 662‐236‐4675

Fax 662‐281‐0819

Address 1397 Belk Blvd.

Address2

City Oxford

ZIP_Postal Code 38655

Country_Region USA

Testing_Methods RAST; MULTITEST; ed

Specialty

State_Province Mississippi

Last Browning

First Robert

Middle G

Degree MD

Phone 662‐289‐9155

Fax 662‐289‐7752

Address 530 Veterans Memorial Dr.

Address2

City Kosciusko

ZIP_Postal Code 39090

Country_Region USA

Testing_Methods RAST

Specialty FP

Wednesday, July 10, 2019 Page 42 of 154

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State_Province Mississippi

Last Okorie

First Ikechukwu

Middle

Degree MD

Phone 601‐544‐7012

Fax 601‐544‐7013

Address 107 Ralph Rawls Rd.

Address2

City Hattiesburg

ZIP_Postal Code 39402

Country_Region USA

Testing_Methods id; pid

Specialty FP

State_Province Mississippi

Last Bazzone

First Victor

Middle T.

Degree MD

Phone 228‐604‐4546

Fax

Address 10051‐B Lorraine Rd.

Address2

City Gulfport

ZIP_Postal Code 39501

Country_Region USA

Testing_Methods

Specialty N; BHRT

Wednesday, July 10, 2019 Page 43 of 154

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State_Province Missouri

Last Salter

First Christine

Middle

Degree MD, DC

Phone 314‐395‐9777

Fax

Address 12401 Olive Blvd., Ste. 204

Address2

City Creve Coeur

ZIP_Postal Code 63141

Country_Region USA

Testing_Methods None listed

Specialty

State_Province Missouri

Last Cockerell

First Charles

Middle F

Degree MD

Phone 816‐228‐4770

Fax 816‐228‐1156

Address 205 West R.D. Mize Rd.

Address2  #304

City Blue Springs

ZIP_Postal Code 64014

Country_Region USA

Testing_Methods id; pid; pn; ed; oral chall

Specialty PD; A

Wednesday, July 10, 2019 Page 44 of 154

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State_Province Missouri

Last Aberle

First Kathryn

Middle

Degree MD

Phone 630‐229‐3616

Fax

Address 3340 NE Ralph Powell Rd., Ste. B

Address2

City Lees Summit

ZIP_Postal Code 64064

Country_Region USA

Testing_Methods

Specialty

State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Missouri

Thomas

Thomas

C

MD

Address2

City Liberty

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

64068

USA

Retired

FP; A

Wednesday, July 10, 2019 Page 45 of 154

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State_Province Missouri

Last Devins

First Sidney

Middle S.

Degree MD

Phone (816) 524‐5522

Fax 816‐524‐4798

Address 290 NE Tudor Road

Address2

City Lees Summit

ZIP_Postal Code 64086

Country_Region USA

Testing_Methods id; RAST

Specialty PULM; Sleep; Crit. Care

State_Province Missouri

Last Fitzpatrick

First Amelia

Middle

Degree MD, PhD

Phone 816‐524‐5522

Fax 816‐524‐4798

Address Metropolitan Pulmonary

Address2 290 NE Tudor Road

City Lees Summit

ZIP_Postal Code 64086‐5696

Country_Region USA

Testing_Methods id; RAST

Specialty PULM; Crit. Care

Wednesday, July 10, 2019 Page 46 of 154

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State_Province Missouri

Last Hechler

First Mark

Middle L

Degree DO

Phone 660‐747‐5444

Fax 660‐747‐5481

Address 706 Burkarth Rd.

Address2

City Warrensburg

ZIP_Postal Code 64093

Country_Region USA

Testing_Methods id; RAST; pnsl; ed; multi prick

Specialty OTO; Facial Plastics

State_Province Missouri

Last McInerney

First Maureen

Middle

Degree

Phone

RN, BSN

Fax

Address

Address2

City Kansas City

ZIP_Postal Code 64145

Country_Region USA

Testing_Methods MQT; IDT; SLIT; ed; rotation diet; ELISA

Specialty

Wednesday, July 10, 2019 Page 47 of 154

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State_Province Missouri

Last McDonald

First Robert

Middle J

Degree MD

Phone 573‐659‐5570

Fax 573‐659‐4570

Address 3725 W. Truman Blvd., #200

Address2

City Jefferson City

ZIP_Postal Code 65109

Country_Region USA

Testing_Methods id

Specialty OTO; A

State_Province Missouri

Last Denninghoff

First James

Middle

Degree MD

Phone 573‐815‐0662

Fax 573‐443‐1162

Address 1701 E. Broadway #304

Address2

City Columbia

ZIP_Postal Code 65201

Country_Region USA

Testing_Methods id; prick

Specialty ENT; A

Wednesday, July 10, 2019 Page 48 of 154

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State_Province Missouri

Last Seabaugh

First Janice

Middle L.

Degree MD

Phone 573‐815‐9062

Fax 573‐441‐0404

Address 3315 Berrywood Dr., Ste. 207

Address2

City Columbia

ZIP_Postal Code 65201

Country_Region USA

Testing_Methods id; mod. RAST

Specialty OTO

State_Province Missouri

Last Brown

First Matthew

Middle A.

Degree MD

Phone 417‐260‐4510

Fax

Address 16989 Sunset Drive

Address2

City Houston

ZIP_Postal Code 65483

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 49 of 154

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State_Province Montana

Last Hoechst

First Julie

Middle

Degree RN, BSN

Phone 406‐495‐3697

Fax

Address St. Peters Hospital

Address2 2475 E. Broadway St.

City Helena

ZIP_Postal Code 59601

Country_Region USA

Testing_Methods id; RAST

Specialty

State_Province Montana

Last Rogers

First Neal

Middle L

Degree MD

Phone 406‐723‐6526

Fax 406‐782‐9712

Address 202 S. Montana St.

Address2

City Butte

ZIP_Postal Code 59701

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall

Specialty ENT; A

Wednesday, July 10, 2019 Page 50 of 154

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State_Province Montana

Last Bailey

First Dawn

Middle

Degree LPN

Phone 406‐541‐3277

Fax

Address Rocky Mountain ENT

Address2 700 W. Kent Ave.

City Missoula

ZIP_Postal Code 59801

Country_Region USA

Testing_Methods id; RAST; ed

Specialty ENT; A

State_Province Nebraska

Last Smith

First Charles

Middle E

Degree MD

Phone 402‐426‐4611

Fax 402‐426‐4542

Address 810 N. 22nd

Address2

City Blair

ZIP_Postal Code 68008

Country_Region USA

Testing_Methods id; pn; ImmunoCap; ed

Specialty FP

Wednesday, July 10, 2019 Page 51 of 154

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State_Province Nebraska

Last Shelton

First Lindsay

Middle

Degree RN, BSN

Phone 402‐533‐3718

Fax

Address 1287 Deerfield Blvd.

Address2

City Blair

ZIP_Postal Code 68008

Country_Region USA

Testing_Methods ed

Specialty

State_Province Nebraska

Last Ingram

First William

Middle A

Degree MD

Phone 402‐991‐1975

Fax 402‐991‐1974

Address 18015 Oak St., #B

Address2

City Omaha

ZIP_Postal Code 68130

Country_Region USA

Testing_Methods id; in vitro; SLIT; SCIT; pn; ed; oral chall; IgE

Specialty OTO; A

Wednesday, July 10, 2019 Page 52 of 154

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State_Province Nebraska

Last Tuttle

First Amber

Middle M

Degree LPN

Phone 402‐778‐5250

Fax

Address ENT Consultants

Address2 2727 S. 144th St., #250

City Omaha

ZIP_Postal Code 68144

Country_Region USA

Testing_Methods None listed

Specialty

State_Province Nebraska

Last Heywood

First Barbara

Middle

Degree MD

Phone 402‐559‐7005

Fax 402‐559‐8288

Address 981225 Nebraska Med. Ctr.

Address2

City Omaha

ZIP_Postal Code 68198‐1225

Country_Region USA

Testing_Methods id; RAST; pnid; ed

Specialty OTO

Wednesday, July 10, 2019 Page 53 of 154

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State_Province Nebraska

Last Brennan

First Angela

Middle

Degree MD

Phone 308‐754‐5447

Fax 308‐754‐2307

Address Howard County Medical Ctr.

Address2 1113 Sherman St.

City St. Paul

ZIP_Postal Code 68873

Country_Region USA

Testing_Methods None listed

Specialty FP

State_Province Nebraska

Last Hemje

First Mackenzie

Middle

Degree MD

Phone 402‐463‐2423

Fax 402‐463‐9698

Address 1021 W. 14th St.

Address2

City Hastings

ZIP_Postal Code 68901

Country_Region USA

Testing_Methods

Specialty FP

Wednesday, July 10, 2019 Page 54 of 154

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State_Province Nebraska

Last Guthrie

First Sharisse

Middle

Degree

Phone 308‐995‐3345

Fax

Address Family Medical Specialists

Address2 516 West 14th Ave. #100

City Holdrege

ZIP_Postal Code 68949

Country_Region USA

Testing_Methods pid; MultiTest

Specialty

State_Province Nebraska

Last Nuss

First Kathy

Middle

Degree RN

Phone 402‐773‐4566

Fax

Address 503 W. Ash St.

Address2

City Sutton

ZIP_Postal Code 68979

Country_Region USA

Testing_Methods id; pid; psl

Specialty

Wednesday, July 10, 2019 Page 55 of 154

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State_Province Nebraska

Last Deaver

First Lennie

Middle

Degree MD

Phone 308‐697‐3317

Fax 308‐697‐4912

Address 1305 West Hwy. 6 & 34

Address2

City Cambridge

ZIP_Postal Code 69022

Country_Region USA

Testing_Methods ed

Specialty FP

State_Province Nevada

Last Hamid

First Zahid

Middle

Degree MD

Phone 702‐655‐1400

Fax 702‐655‐1417

Address 2600 S. Rainbow Blvd., #108

Address2

City Las Vegas

ZIP_Postal Code 89146

Country_Region USA

Testing_Methods id

Specialty IM

Wednesday, July 10, 2019 Page 56 of 154

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State_Province New Jersey

Last Quinzi‐White

First Nicole

Middle

Degree NP

Phone 908‐352‐6700

Fax

Address c/o Diego Saporta, MD

Address2 470 North Avenue

City Elizabeth

ZIP_Postal Code 07208

Country_Region USA

Testing_Methods

Specialty

State_Province New Jersey

Last Saporta

First Diego

Middle

Degree MD

Phone 908‐352‐6700

Fax 908‐352‐6734

Address 470 North Avenue

Address2

City Elizabeth

ZIP_Postal Code 07208

Country_Region USA

Testing_Methods pd; pn; ed

Specialty ENT; A

Wednesday, July 10, 2019 Page 57 of 154

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State_Province New Jersey

Last Thomsen

First Kathleen

Middle M

Degree MD

Phone 609‐818‐9700

Fax

Address 252 W. Delaware Ave.

Address2

City Pennington

ZIP_Postal Code 08534

Country_Region USA

Testing_Methods None listed

Specialty

State_Province New Mexico

Last Alexander

First Ian

Middle J.

Degree MD

Phone 505‐994‐9435

Fax 505‐896‐9789

Address 3791 Southern Blvd., #100

Address2

City Rio Rancho

ZIP_Postal Code 87124

Country_Region USA

Testing_Methods pid; pnid; pnsl

Specialty ENT

Wednesday, July 10, 2019 Page 58 of 154

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State_Province New Mexico

Last Thomason

First Thomas

Middle B.

Degree MD

Phone

Fax

Address 1620 Hospital Drive

Address2

City Santa Fe

ZIP_Postal Code 87505

Country_Region USA

Testing_Methods id

Specialty ENT

State_Province New Mexico

Last Addy

First Nii Tetteh

Middle T

Degree DO

Phone 575‐887‐8925

Fax 575‐887‐8935

Address 615 W. Mermod St.

Address2

City Carlsbad

ZIP_Postal Code 88220‐4912

Country_Region USA

Testing_Methods id; in vitro

Specialty FP

Wednesday, July 10, 2019 Page 59 of 154

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State_Province New Mexico

Last Hurt

First Allen

Middle

Degree MD

Phone 575‐392‐2040

Fax 575‐392‐6752

Address 2410 N. Fowler St., #B

Address2

City Hobbs

ZIP_Postal Code 88240

Country_Region USA

Testing_Methods id; pid; pn; ed

Specialty FP

State_Province New Mexico

Last Taylor

First Carol

Middle Lee

Degree DNP

Phone 575‐391‐0442

Fax 575‐391‐0443

Address 4008 N. Grimes, #245

Address2

City Hobbs

ZIP_Postal Code 88240

Country_Region USA

Testing_Methods id; RAST; pn; sl; ed

Specialty FP

Wednesday, July 10, 2019 Page 60 of 154

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State_Province New York

Last Smith

First Noel

Middle

Degree MD

Phone 917‐565‐5210

Fax

Address 325 Broadway, #204

Address2

City New York

ZIP_Postal Code 10007

Country_Region USA

Testing_Methods None listed

Specialty

State_Province New York

Last Stec

First Halina

Middle

Degree MD

Phone 914‐589‐7969

Fax

Address 619 Bronx River Road

Address2

City Yonkers

ZIP_Postal Code 10704

Country_Region USA

Testing_Methods None listed

Specialty FP

Wednesday, July 10, 2019 Page 61 of 154

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State_Province New York

Last Ostrovsky

First Igor

Middle

Degree MD, PhD

Phone 718‐934‐1920

Fax 718‐934‐2078

Address 3120 Brighton 5 St., #1C

Address2

City Brooklyn

ZIP_Postal Code 11235

Country_Region USA

Testing_Methods id; pid; psl; IgE; pn; slpn; ed; oral chall

Specialty Pain Mgmt.; A; ALCAT

State_Province New York

Last Crisostomo

First Euginio

Middle S.

Degree MD

Phone 718‐631‐8006

Fax 718‐225‐0174

Address 54‐44 Little Neck Pkwy.

Address2

City Little Neck

ZIP_Postal Code 11362

Country_Region USA

Testing_Methods id; pn; idpn; pnsl

Specialty IM

Wednesday, July 10, 2019 Page 62 of 154

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State_Province New York

Last Setzen

First Gavin

Middle

Degree MD

Phone 518‐701‐2000

Fax 518‐701‐2020

Address Albany ENT & Allergy Serv.

Address2 400 Patroon Creek Blvd., #205

City Albany

ZIP_Postal Code 12206‐1058

Country_Region USA

Testing_Methods pid; psl; ed

Specialty OTO; A

State_Province New York

Last O'Connell

First Milton

Middle

Degree RPA‐C

Phone 518‐589‐6178

Fax

Address Esopus Medical

Address2 2255 Platte Clove Rd.

City Elka Park

ZIP_Postal Code 12427

Country_Region USA

Testing_Methods pid; psl; in vitro

Specialty

Wednesday, July 10, 2019 Page 63 of 154

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State_Province North Carolina

Last Quinn

First Robert

Middle Patel

Degree MD

Phone 704‐782‐6673

Fax 704‐782‐0995

Address 25 Lake Concord Rd. NE

Address2

City Concord

ZIP_Postal Code 28025

Country_Region USA

Testing_Methods id; RAST

Specialty OTO; Sleep Med

State_Province North Carolina

Last Bell

First Joseph

Middle

Degree MD

Phone 910‐521‐0201

Fax 910‐521‐0773

Address Pembroke Pediatrics

Address2 P.O. Box 1118

City Pembroke

ZIP_Postal Code 28372

Country_Region USA

Testing_Methods None listed

Specialty PD

Wednesday, July 10, 2019 Page 64 of 154

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State_Province Ohio

Last McCollough

First Britney

Middle

Degree RN, MSN, NP‐C

Phone 740‐393‐5223

Fax

Address c/o Dr. Christopher Hetrick

Address2 1451 Yauger Rd., #1B

City Mount Vernon

ZIP_Postal Code 43050

Country_Region USA

Testing_Methods id; RAST; ed

Specialty

State_Province Ohio

Last VanWert

First Barbara

Middle

Degree BA, CMA

Phone 614‐538‐2424

Fax

Address Ohio ENT

Address2 974 Bethel Rd., #A

City Columbus

ZIP_Postal Code 43214

Country_Region USA

Testing_Methods id

Specialty ENT

Wednesday, July 10, 2019 Page 65 of 154

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State_Province Ohio

Last Blair

First Kimberly

Middle

Degree RMA

Phone 614‐538‐2424

Fax

Address Ohio ENT

Address2 974 Bethel Rd., #A

City Columbus

ZIP_Postal Code 43214

Country_Region USA

Testing_Methods id

Specialty ENT

State_Province Ohio

Last Ferenbaugh

First Amy

Middle

Degree CNP

Phone 740‐398‐8413

Fax

Address 389 N. Ridge Heights Dr.

Address2

City Howard

ZIP_Postal Code 43628

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 66 of 154

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State_Province Ohio

Last Thomas

First Marc

Middle A

Degree RN

Phone 740‐704‐4685

Fax 800‐276‐1438

Address Allergy Information Serv.

Address2 627 Timber Run Road

City Zanesville

ZIP_Postal Code 43701

Country_Region USA

Testing_Methods id; pid; psl; RAST; MQT; pn; pnsl; ed; oral chall

Specialty ENT; EN. MED.

State_Province Ohio

Last Kanagy

First David

Middle A.

Degree MD

Phone 330‐596‐6520

Fax 330‐596‐6525

Address 270 East State St., #245

Address2

City Alliance

ZIP_Postal Code 44601

Country_Region USA

Testing_Methods id; pid; psl; pn; pnsl; ed

Specialty ENT; A; IM

Wednesday, July 10, 2019 Page 67 of 154

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State_Province

Last

First

Middle

Degree

Phone

Ohio

Daskalov

Stoyan

P

MD

Fax

Address

Address2

City Alliance

ZIP_Postal Code 44601

Country_Region USA

Testing_Methods Retired

Specialty OTO; A

State_Province Ohio

Last Shivers

First R.

Middle Mark

Degree MD

Phone 330‐823‐3856

Fax 330‐829‐6688

Address 149 E. Simpson St.

Address2

City Alliance

ZIP_Postal Code 44601

Country_Region USA

Testing_Methods id

Specialty FP

Wednesday, July 10, 2019 Page 68 of 154

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State_Province Ohio

Last Ridge

First Jennifer

Middle

Degree MD

Phone 513‐424‐7231

Fax 513‐424‐1770

Address 210 North Breiel Blvd.

Address2

City Middletown

ZIP_Postal Code 45042

Country_Region USA

Testing_Methods id; pid; pn; ed

Specialty D

State_Province Ohio

Last Lawwill

First Joyce

Middle

Degree RN

Phone 513‐424‐7231

Fax 513‐424‐1770

Address c/o Jennifer Ridge, MD

Address2 210 North Breiel Blvd.

City Middletown

ZIP_Postal Code 45042

Country_Region USA

Testing_Methods id; pid; pn; ed

Specialty A; Surgery

Wednesday, July 10, 2019 Page 69 of 154

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State_Province Ohio

Last Bowlin

First Julia

Middle

Degree MD

Phone 937‐547‐2321

Fax

Address 5735 Meeker Rd.

Address2

City Greenville

ZIP_Postal Code 45331

Country_Region USA

Testing_Methods

Specialty

State_Province Ohio

Last Gillen, III

First John

Middle B

Degree MD

Phone 937‐325‐8796

Fax 937‐325‐6698

Address 435 S. Burnett Rd.

Address2

City Springfield

ZIP_Postal Code 45505

Country_Region USA

Testing_Methods id; pid; psl; in vitro; ed

Specialty OTO

Wednesday, July 10, 2019 Page 70 of 154

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State_Province Oklahoma

Last McGath

First John

Middle H

Degree MD

Phone 580‐252‐0100

Fax 580‐252‐0106

Address 1401 Duncan Regional Loop

Address2

City Duncan

ZIP_Postal Code 73533

Country_Region USA

Testing_Methods id; RAST/ICAP; pnsl; ed

Specialty OTO‐HNS

State_Province Oklahoma

Last Jones

First Karen "Shawn"

Middle

Degree CST

Phone 580‐237‐7700

Fax

Address c/o Edward L. Barnes, MD

Address2 3201 N. Van Buren, #500

City Enid

ZIP_Postal Code 73703

Country_Region USA

Testing_Methods ed

Specialty

Wednesday, July 10, 2019 Page 71 of 154

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State_Province Oklahoma

Last Holland, Jr.

First Charles

Middle D

Degree MD

Phone 918‐333‐0474

Fax 918‐333‐5125

Address Holland & Robertson ENT

Address2 205 SE Howard Ave.

City Bartlesville

ZIP_Postal Code 74006

Country_Region USA

Testing_Methods id; RAST; ed; oral chall

Specialty OTO

State_Province Oklahoma

Last Bull

First Mindi

Middle

Degree DO

Phone 918‐944‐9150

Fax

Address St. John ENT

Address2 800 W. Poise Circle, #320

City Broken Arrow

ZIP_Postal Code 74012

Country_Region USA

Testing_Methods None listed

Specialty

Wednesday, July 10, 2019 Page 72 of 154

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State_Province Oklahoma

Last Hoover

First Shauna

Middle

Degree LPN

Phone 918‐994‐9150

Fax

Address c/o Mindi Bull, DO

Address2 800 W. Boise Circle, #320

City Broken Arrow

ZIP_Postal Code 74012

Country_Region USA

Testing_Methods

Specialty

State_Province Oklahoma

Last Guy

First Ronald

Middle M.

Degree MD

Phone 918‐994‐9150

Fax

Address 2161 Forest Blvd.

Address2

City Tulsa

ZIP_Postal Code 74114

Country_Region USA

Testing_Methods id

Specialty ENT

Wednesday, July 10, 2019 Page 73 of 154

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State_Province Oklahoma

Last Allen

First Richard

Middle D

Degree DO

Phone 918‐786‐7200

Fax 918‐786‐7212

Address 900 E. 13 St., #201

Address2

City Grove

ZIP_Postal Code 74344

Country_Region USA

Testing_Methods id; RAST; ed

Specialty OTO

State_Province Oklahoma

Last McIntosh

First Brad

Middle A

Degree MD

Phone 918‐682‐1425

Fax 918‐682‐0615

Address 3316 West Okmulgee

Address2

City Muskogee

ZIP_Postal Code 74401

Country_Region USA

Testing_Methods id; RAST

Specialty FP; A

Wednesday, July 10, 2019 Page 74 of 154

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State_Province Oklahoma

Last Koehn

First Laura

Middle

Degree

Phone

MD

Fax

Address

Address2

City Tahlequah

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

74464

USA

Retired

A

State_Province Oklahoma

Last Vest

First Charles

Middle R.

Degree MD

Phone 580‐925‐8800

Fax 580‐925‐8851

Address Central OK Family Med. Ctr.

Address2 527 W. 3rd Street

City Konawa

ZIP_Postal Code 74849

Country_Region USA

Testing_Methods id; RAST

Specialty ENT

Wednesday, July 10, 2019 Page 75 of 154

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State_Province Oregon

Last Menk Otto

First Laurie

Middle

Degree ND

Phone 503‐232‐3215

Fax

Address 936 SE Ankeny St.

Address2

City Portland

ZIP_Postal Code 97214

Country_Region USA

Testing_Methods id; RAST; sl; ed

Specialty Naturopathy

State_Province Pennsylvania

Last Tarnopolsky

First Rafael

Middle

Degree

Phone

Fax

Address

MD

Address2

City Pittsburgh

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

15217

USA

Retired

OTO; A

Wednesday, July 10, 2019 Page 76 of 154

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State_Province Pennsylvania

Last Magan

First Sharon

Middle J.

Degree Ph.D., NP

Phone 412‐360‐1444

Fax

Address 14 Niagara Rd.

Address2

City Pittsburgh

ZIP_Postal Code 15221

Country_Region USA

Testing_Methods ed

Specialty

State_Province Pennsylvania

Last Morris

First Olivia

Middle

Degree CHPNA, CNA

Phone 724‐639‐9702

Fax

Address 280 Fourt St.

Address2

City Saltsburg

ZIP_Postal Code 15681

Country_Region USA

Testing_Methods pid; psl; RAST

Specialty

Wednesday, July 10, 2019 Page 77 of 154

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State_Province Pennsylvania

Last Roth

First Valeri

Middle

Degree DO

Phone 724‐220‐4606

Fax 724‐981‐3874

Address 2213 Shenango Valley Fwy., Ste. 1A

Address2

City Hermitage

ZIP_Postal Code 16148

Country_Region USA

Testing_Methods MQT; pn; ed

Specialty ENT; A

State_Province Pennsylvania

Last Martz

First Lynn

Middle

Degree RN

Phone 570‐387‐4368

Fax 570‐387‐6223

Address Northeast ENT

Address2 6850 Lows Rd., #320

City Bloomsburg

ZIP_Postal Code 17815

Country_Region USA

Testing_Methods SLIT; SCIT; pid; psl; RAST; MQT

Specialty A

Wednesday, July 10, 2019 Page 78 of 154

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State_Province Pennsylvania

Last Bonnet

First Philip

Middle L

Degree MD

Phone 215‐321‐8321

Fax 215‐321‐9837

Address 1086 Taylorsville Rd.

Address2

City Washington Crossing

ZIP_Postal Code 18977

Country_Region USA

Testing_Methods id; pid; psl; pn; ed; oral chall

Specialty Orthomolecular Psy; Homopathy; A

State_Province South Carolina

Last Alam

First Tauqueer

Middle

Degree MD

Phone 864‐885‐0058

Fax 864‐885‐0098

Address 109 Carter Park Dr., #A

Address2

City Seneca

ZIP_Postal Code 29678

Country_Region USA

Testing_Methods id; MultiTest; prick; ed

Specialty IM

Wednesday, July 10, 2019 Page 79 of 154

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State_Province Tennessee

Last Haase

First David

Middle H

Degree MD

Phone 931‐648‐9595

Fax 931‐648‐9567

Address 556 Fire Station Road

Address2

City Clarksville

ZIP_Postal Code 37043

Country_Region USA

Testing_Methods id; psl; ed

Specialty FP

State_Province Tennessee

Last Syner

First Clifford

Middle M.

Degree PA‐C

Phone 931‐220‐0808

Fax

Address 1536 Gratton Rd.

Address2

City Clarksville

ZIP_Postal Code 37043

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 80 of 154

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State_Province Tennessee

Last Hydrick

First Jack

Middle

Degree BSN, MSN

Phone 615‐556‐9120

Fax

Address Barfield Clinic

Address2 2910 S. Church St., #B

City Murfreesboro

ZIP_Postal Code 37127

Country_Region USA

Testing_Methods MultiTest II; ed

Specialty

State_Province Tennessee

Last Shah

First Nalin

Middle

Degree MD

Phone 423‐247‐1122

Fax 423‐247‐3856

Address 1516 Bridgewater Lane

Address2

City Kingsport

ZIP_Postal Code 37664

Country_Region USA

Testing_Methods pnid; pnsl; in vitro; ed

Specialty A

Wednesday, July 10, 2019 Page 81 of 154

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State_Province Tennessee

Last Busch

First Forrest

Middle Kenton

Degree DO

Phone 731‐286‐4300

Fax 731‐286‐8008

Address 1950 Cook St.

Address2 #As PMB 363

City Dyersburg

ZIP_Postal Code 38024

Country_Region USA

Testing_Methods id; ed; RAST

Specialty FP; D

State_Province Tennessee

Last Moore, III

First Olyn

Middle Fred

Degree MD

Phone 731‐285‐5244

Fax 731‐285‐8970

Address 503 Tickle St.

Address2

City Dyersburg

ZIP_Postal Code 38024

Country_Region USA

Testing_Methods id; RAST

Specialty Gen. Surg.

Wednesday, July 10, 2019 Page 82 of 154

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State_Province Texas

Last Reihsen

First Julie

Middle L.

Degree MD

Phone 972‐248‐2020

Fax

Address 16901 Dallas Pkwy., #208

Address2

City Addison

ZIP_Postal Code 75001

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Salvatore

First Michelle

Middle

Degree

Phone 972‐394‐8844

Fax

Address Family Med Assoc. of Texas

Address2 4333 N. Josey Lane, #302

City Carrollton

ZIP_Postal Code 75010

Country_Region USA

Testing_Methods RAST

Specialty None listed

Wednesday, July 10, 2019 Page 83 of 154

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State_Province Texas

Last Davis

First Hong

Middle

Degree MD

Phone 972‐867‐5888

Fax 972‐867‐4888

Address 6300 Stonewood Dr. #202

Address2

City Plano

ZIP_Postal Code 75024

Country_Region USA

Testing_Methods ed; pn

Specialty FP

State_Province Texas

Last Willaby

First Wendy

Middle

Degree LVN

Phone 972‐596‐4005

Fax

Address c/o Collin County ENT

Address2 8380 Warren Pkwy, #504

City Frisco

ZIP_Postal Code 75034

Country_Region USA

Testing_Methods id; pid; psl; RAST; ed

Specialty None listed

Wednesday, July 10, 2019 Page 84 of 154

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State_Province Texas

Last Fleming

First Irene

Middle Paula

Degree RN

Phone 972‐596‐4005

Fax

Address Collin County ENT

Address2 8380 Warren Pkwy., #504

City Frisco

ZIP_Postal Code 75034

Country_Region USA

Testing_Methods id

Specialty None listed

State_Province Texas

Last Elmore

First Stephanie

Middle

Degree MD

Phone 972‐594‐1111

Fax 972‐518‐1867

Address 1701 W. Walnut Hill Lane, #200

Address2

City Irving

ZIP_Postal Code 75038

Country_Region USA

Testing_Methods id; pid; psl; pn; pnsl; ed

Specialty FP

Wednesday, July 10, 2019 Page 85 of 154

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State_Province Texas

Last Seifert

First John

Middle

Degree MD

Phone 214‐221‐7117

Fax 972‐271‐2135

Address P.O. Box 472308

Address2

City Garland

ZIP_Postal Code 75047‐2308

Country_Region USA

Testing_Methods Semi‐retired

Specialty OTO; A

State_Province Texas

Last Siddiqi

First Adila

Middle

Degree DO

Phone 972‐647‐0550

Fax 972‐647‐1010

Address 2771 Sherman St.

Address2

City Grand Prairie

ZIP_Postal Code 75051

Country_Region USA

Testing_Methods id

Specialty FP

Wednesday, July 10, 2019 Page 86 of 154

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State_Province Texas

Last Ukegbu

First Ibidunni

Middle

Degree MD

Phone 817‐366‐4604

Fax

Address 2851 S. Serrano

Address2

City Grand Prairie

ZIP_Postal Code 75054

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Johnson

First Alfred

Middle R.

Degree DO

Phone 972‐479‐0400

Fax 972‐479‐9435

Address Johnson Medical Associates

Address2 997 Hampshire Lane

City Richardson

ZIP_Postal Code 75080

Country_Region USA

Testing_Methods id; pid; RAST; pn; pnsl; ed

Specialty A; IM; ENV. MED

Wednesday, July 10, 2019 Page 87 of 154

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State_Province Texas

Last Owens

First Patti

Middle S.

Degree AT

Phone  972‐781‐1462

Fax

Address Owens Ear Center

Address2 6509 W. Plano Pkwy.

City Plano

ZIP_Postal Code 75093

Country_Region USA

Testing_Methods id; sl; oral chall

Specialty

State_Province Texas

Last Brashear

First Benjamin

Middle R.

Degree MD

Phone 972‐932‐8555

Fax 972‐932‐2141

Address 2801 Millenium #B

Address2

City Kaufman

ZIP_Postal Code 75142

Country_Region USA

Testing_Methods

Specialty FP

Wednesday, July 10, 2019 Page 88 of 154

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State_Province Texas

Last Tate

First Karen

Middle

Degree LVN

Phone 468‐800‐9800

Fax

Address ENT Spec. of Waxahachie

Address2 2460 N. I35 E., #270

City Waxahachie

ZIP_Postal Code 75165

Country_Region USA

Testing_Methods id; RAST; psl; ed; pid

Specialty

State_Province Texas

Last Newton

First Michelle

Middle A.

Degree RN, APRN‐BC

Phone 214‐699‐1647

Fax

Address 3814 Clover Hill Lane

Address2

City Carrollton

ZIP_Postal Code 75182

Country_Region USA

Testing_Methods ed

Specialty

Wednesday, July 10, 2019 Page 89 of 154

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State_Province Texas

Last Oas

First Virginia

Middle

Degree Off. Mgr.

Phone 214‐699‐1647

Fax

Address 3814 Clover Hill Lane

Address2

City Carrollton

ZIP_Postal Code 75182

Country_Region USA

Testing_Methods ed

Specialty

State_Province Texas

Last Benavides

First Michael

Middle A.

Degree DO

Phone 972‐682‐5757

Fax 972‐682‐6611

Address 1350 N. Buckner Blvd., #101

Address2

City Dallas

ZIP_Postal Code 75218

Country_Region USA

Testing_Methods skin testing

Specialty FP

Wednesday, July 10, 2019 Page 90 of 154

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State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Texas

Jaeckle

Richard

G

MD

Address2

City

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

Dallas

75231‐4417

USA

Retired

PSY; A

State_Province

Last

First

Middle

Degree

Phone

Fax

Address

Texas

Livingstone

David

K

MD

Address2

City Dallas

ZIP_Postal Code 75231‐7340

Country_Region USA

Testing_Methods

Specialty FP

Wednesday, July 10, 2019 Page 91 of 154

Retired

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State_Province Texas

Last Balbuena, Jr.

First Luis

Middle

Degree MD

Phone 903‐927‐6880

Fax 903‐927‐6884

Address 703 S. Washington

Address2

City Marshall

ZIP_Postal Code 75670

Country_Region USA

Testing_Methods id; pnid; pnsl

Specialty OTO

State_Province Texas

Last Mettetal

First C.

Middle Ted

Degree MD

Phone 903‐676‐3200

Fax 903‐676‐3277

Address Lakeland Medical Assoc.

Address2 117 Medical Circle

City Athens

ZIP_Postal Code 75751

Country_Region USA

Testing_Methods id; RAST; ed

Specialty None listed

Wednesday, July 10, 2019 Page 92 of 154

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State_Province Texas

Last Woodall

First Bruce

Middle D.

Degree MD

Phone 903‐676‐3200

Fax

Address 117 Medical Circle

Address2

City Athens

ZIP_Postal Code 75751

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Jennings

First Norman

Middle L.

Degree MD

Phone 903‐676‐3200

Fax 903‐676‐3277

Address 117 Medical Circle

Address2

City Athens

ZIP_Postal Code 75751

Country_Region USA

Testing_Methods IDT; pnid; pnsl; ed

Specialty

Wednesday, July 10, 2019 Page 93 of 154

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State_Province Texas

Last Holcomb

First Timothy

Middle

Degree DO

Phone 817‐673‐8970

Fax

Address 11236 Marsh Wren Circle

Address2

City Flint

ZIP_Postal Code 75762

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Humphreys

First Brian

Middle F

Degree MD

Phone 936‐699‐3141

Fax 936‐699‐3145

Address 121 Gaslight Medical Pkwy., #100

Address2

City Lufkin

ZIP_Postal Code 75904

Country_Region USA

Testing_Methods id; pid; psl; ed

Specialty ENT; A

Wednesday, July 10, 2019 Page 94 of 154

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State_Province Texas

Last Coffman

First Dennis

Middle W.

Degree MD

Phone

Fax

Address

Address2

City Nacogdoches

ZIP_Postal Code 75965

Country_Region USA

Testing_Methods Retired

Specialty FP

State_Province Texas

Last Pena, Jr

First Rene

Middle M

Degree MD

Phone 817‐261‐9191

Fax 817‐784‐8301

Address 409 Central Park Drive

Address2

City Arlington

ZIP_Postal Code 76014

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; ed

Specialty ENT

Wednesday, July 10, 2019 Page 95 of 154

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State_Province Texas

Last Gibbs

First Dana

Middle

Degree MD

Phone 817‐261‐9191

Fax 817‐784‐6880

Address 409 Central Park Drive

Address2

City Arlington

ZIP_Postal Code 76014‐2069

Country_Region USA

Testing_Methods id; pid; RAST; pn; ed

Specialty OTO; A

State_Province Texas

Last Rizkalla

First Sherif

Middle

Degree DO

Phone 817‐358‐5800

Fax 817‐283‐7686

Address 1305 Airport Fwy., #220

Address2

City Bedford

ZIP_Postal Code 76021

Country_Region USA

Testing_Methods id; pid; psl; ed

Specialty IM

Wednesday, July 10, 2019 Page 96 of 154

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State_Province Texas

Last Kaner

First David

Middle B.

Degree DO

Phone 817‐358‐5800

Fax

Address Kaner Medical Group

Address2 1305 Airport Blvd., #220

City Bedford

ZIP_Postal Code 76021

Country_Region USA

Testing_Methods

Specialty None listed

State_Province Texas

Last Gambini

First Otto

Middle

Degree

Phone 817‐358‐5800

Fax

Address Healthcare Assoc. of TX

Address2 1305 Airport Blvd., #220

City Bedford

ZIP_Postal Code 76021

Country_Region USA

Testing_Methods MultiTest; prick; ed

Specialty None listed

Wednesday, July 10, 2019 Page 97 of 154

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State_Province Texas

Last Shea

First John

Middle P

Degree MD

Phone 817‐551‐1010

Fax 817‐551‐0662

Address 11797 South Freeway, #132

Address2

City Burleson

ZIP_Postal Code 76028

Country_Region USA

Testing_Methods id; RAST; sl; ed; pnsl

Specialty OTO; A

State_Province Texas

Last Krzeminski

First Stephen

Middle G

Degree DO

Phone 817‐573‐6673

Fax 817‐573‐9783

Address 1305 Paluxy Hwy., #A

Address2

City Granbury

ZIP_Postal Code 76048‐2408

Country_Region USA

Testing_Methods id; sl; MQT

Specialty ENT; A; Facial Plastic Surgery

Wednesday, July 10, 2019 Page 98 of 154

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State_Province Texas

Last Ferris

First John

Middle S.

Degree MD

Phone 817‐481‐8661

Fax 817‐488‐9792

Address 1604 Lancaster Dr.

Address2

City Grapevine

ZIP_Postal Code 76051

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; ed; oral chall

Specialty IM

State_Province Texas

Last Lang

First Arthur

Middle E

Degree BA

Phone 817‐577‐0480

Fax 817‐581‐0167

Address 789 Lonesome Dove Trail

Address2

City Hurst

ZIP_Postal Code 76054

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP

Specialty None listed

Wednesday, July 10, 2019 Page 99 of 154

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State_Province Texas

Last Lang

First Howard

Middle J

Degree DO

Phone 817‐577‐0480

Fax 817‐581‐0167

Address 789 Lonesome Dove Trail

Address2

City Hurst

ZIP_Postal Code 76054

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP

Specialty FP; A; EM

State_Province Texas

Last Baze

First Christy

Middle

Degree DO

Phone 817‐281‐0402

Fax 817‐281‐6364

Address 1709 Precinct Line Road

Address2

City Hurst

ZIP_Postal Code 76054

Country_Region USA

Testing_Methods in vitro; ed

Specialty FP

Wednesday, July 10, 2019 Page 100 of 154

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State_Province Texas

Last Lang

First Derek

Middle H

Degree DO

Phone 817‐577‐0480

Fax 817‐581‐0167

Address 789 Lonesome Dove Trail

Address2

City Hurst

ZIP_Postal Code 76054

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; pnsl; ed; oral chall; LEAP

Specialty FP

State_Province Texas

Last Icho

First Nanette

Middle

Degree MD

Phone 504‐453‐0873

Fax

Address 2730 Virginia Pkwy., #200

Address2

City McKinney

ZIP_Postal Code 76071

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 101 of 154

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State_Province Texas

Last Block

First Mary

Middle Ann

Degree DO

Phone 817‐280‐9933

Fax 817‐280‐9966

Address The Block Center

Address2 5913 Lovell Ave., Ste. A

City Ft. Worth

ZIP_Postal Code 76107‐5069

Country_Region USA

Testing_Methods pid; psl; IgE; IgG; pn; ed; oral chall; LDA

Specialty FP; A

State_Province Texas

Last Watkins

First Jeremy

Middle

Degree MD

Phone 817‐332‐8848

Fax 817‐335‐2670

Address 5751 Edwards Ranch Rd., Ste. 200

Address2

City Ft. Worth

ZIP_Postal Code 76109

Country_Region USA

Testing_Methods id; pnid; pnsl; ed

Specialty ENT

Wednesday, July 10, 2019 Page 102 of 154

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State_Province Texas

Last Seymour

First Elizabeth

Middle

Degree MD

Phone 940‐484‐1887

Fax 940‐591‐0458

Address 3303 Colorado Blvd., #A

Address2

City Denton

ZIP_Postal Code 76210

Country_Region USA

Testing_Methods None listed

Specialty FP

State_Province Texas

Last Otto

First Russell

Middle J

Degree MD

Phone 940‐891‐6100

Fax 940‐891‐6110

Address 1209 Bent Oaks Ct. 16

Address2

City Denton

ZIP_Postal Code 76210

Country_Region USA

Testing_Methods Mod. RAST; MQT; ed

Specialty OTO

Wednesday, July 10, 2019 Page 103 of 154

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State_Province Texas

Last Carver

First Sharla

Middle

Degree FNP‐C

Phone 940‐627‐7443

Fax

Address c/o Jeff Alling, M.D.

Address2 1001 Eagle Drive

City Decatur

ZIP_Postal Code 76234

Country_Region USA

Testing_Methods id; pid; psl; in vitro; ed

Specialty

State_Province Texas

Last Wadi

First Musa

Middle

Degree MD

Phone 940‐322‐4480

Fax 940‐322‐8420

Address 1208 Brook Ave.

Address2

City Wichita Falls

ZIP_Postal Code 76301

Country_Region USA

Testing_Methods

Specialty None listed

Wednesday, July 10, 2019 Page 104 of 154

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State_Province Texas

Last Ebrahim

First Ellaheh

Middle

Degree MD

Phone 940‐337‐6326

Fax

Address 2301 Irving Place

Address2

City Wichita Falls

ZIP_Postal Code 76308

Country_Region USA

Testing_Methods

Specialty FP

State_Province Texas

Last Gambuti

First Mary

Middle

Degree RN, BSN

Phone 940‐689‐2342

Fax 940‐696‐8275

Address Harmony Clinics

Address2 4412 Kell Blvd.

City Wichita Falls

ZIP_Postal Code 76309

Country_Region USA

Testing_Methods id; RAST; Unicap; prick; puncture; MQT; ed

Specialty None listed

Wednesday, July 10, 2019 Page 105 of 154

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State_Province Texas

Last Webster

First Dave

Middle

Degree DO

Phone 254‐290‐8887

Fax 254‐690‐6696

Address 5610 E. Central Texas Expy.

Address2 #1

City Killeen

ZIP_Postal Code 76543

Country_Region USA

Testing_Methods id

Specialty

State_Province Texas

Last Walvoord

First Keith

Middle

Degree MD

Phone 325‐224‐5211

Fax 325‐224‐5905

Address 3555 Knickerbocker

Address2

City San Angelo

ZIP_Postal Code 76904

Country_Region USA

Testing_Methods id; idpn; in vitro; pnsl

Specialty ENT; A

Wednesday, July 10, 2019 Page 106 of 154

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State_Province Texas

Last Husain

First Shaista

Middle A.

Degree MD

Phone 832‐366‐1477

Fax 832‐366‐1479

Address 1315 St. Joseph Pkwy., #1109

Address2

City Houston

ZIP_Postal Code 77002

Country_Region USA

Testing_Methods id; pn

Specialty OTO‐H&N SURGERY

State_Province Texas

Last Phan

First Hoang‐Anh

Middle

Degree MD

Phone 713‐437‐7114

Fax

Address 13480 Veterans Memorial Dr., Ste. R‐1

Address2

City Houston

ZIP_Postal Code 77014‐1670

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 107 of 154

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State_Province Texas

Last McCutcheon

First Conrad

Middle K

Degree MD

Phone 281‐822‐3777

Fax 281‐822‐3776

Address 9055 Katy Fwy., #415

Address2

City Houston

ZIP_Postal Code 77024

Country_Region USA

Testing_Methods id; pid; psl; ed

Specialty OTO

State_Province Texas

Last Mohney

First John

Middle

Degree DO

Phone 713‐626‐0312

Fax

Address 4742 W. Alabama St.

Address2

City Houston

ZIP_Postal Code 77027

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 108 of 154

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State_Province Texas

Last Huang

First Charles

Middle

Degree

Phone 713‐936‐1300

Fax

Address 9889 Bellaire Blvd.

Address2 #134

City Houston

ZIP_Postal Code 77036

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Cho

First Sangsoo

Middle

Degree FNP, MS

Phone 713‐269‐1008

Fax

Address 9335 Pearsall Drive

Address2

City Houston

ZIP_Postal Code 77064

Country_Region USA

Testing_Methods

Specialty None listed

Wednesday, July 10, 2019 Page 109 of 154

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State_Province Texas

Last Chavda

First Jay

Middle

Degree MD

Phone 713‐774‐2090

Fax 713‐774‐2096

Address Shayona ENT Clinic

Address2 7737 SW Fwy #300

City Houston

ZIP_Postal Code 77064‐1800

Country_Region USA

Testing_Methods id; pid; ed

Specialty ENT‐H/N; A

State_Province Texas

Last Vo

First Vinh

Middle H

Degree NP

Phone 281‐397‐1410

Fax

Address Vitacare Medical Clinic

Address2 2128 Spears Rd., #600

City Houston

ZIP_Postal Code 77067

Country_Region USA

Testing_Methods id

Specialty

Wednesday, July 10, 2019 Page 110 of 154

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State_Province Texas

Last Bavishi

First Nilesh

Middle

Degree MD

Phone (713) 541‐0000

Fax

Address 7777 Southwest Fwy #544

Address2

City Houston

ZIP_Postal Code 77074

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Tondera

First Eric

Middle K

Degree DC, NP‐C

Phone 713‐988‐3223

Fax

Address 1201 Dairy Ashford, #118

Address2

City Houston

ZIP_Postal Code 77079

Country_Region USA

Testing_Methods IDT; pnsl; pnid ‐ foods

Specialty

Wednesday, July 10, 2019 Page 111 of 154

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State_Province Texas

Last Guerrera, Jr.

First Hector

Middle

Degree MD

Phone 956‐227‐3902

Fax

Address 614 Durley Drive

Address2

City Houston

ZIP_Postal Code 77079

Country_Region USA

Testing_Methods None listed

Specialty EM

State_Province Texas

Last Levy

First Steven

Middle R

Degree MD

Phone 713‐681‐5000

Fax 713‐681‐5002

Address 10375 NW Fwy.

Address2

City Houston

ZIP_Postal Code 77092

Country_Region USA

Testing_Methods id; pn

Specialty PD; A; ASTHMA

Wednesday, July 10, 2019 Page 112 of 154

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State_Province Texas

Last Davis

First Dwight

Middle

Degree FNP‐C

Phone 713‐634‐8077

Fax

Address 7813 West St.

Address2

City Houston

ZIP_Postal Code 77093

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Herbert

First Janet

Middle M.

Degree RN, BSN

Phone 713‐826‐8780

Fax

Address 5707 Jason St.

Address2

City Houston

ZIP_Postal Code 77096

Country_Region USA

Testing_Methods

Specialty None listed

Wednesday, July 10, 2019 Page 113 of 154

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State_Province Texas

Last Baca

First Esaias

Middle

Degree DC

Phone 281‐748‐1556

Fax

Address Metabolic Restoration Ctr.

Address2 2022 W. Alabama St.

City Houston

ZIP_Postal Code 77098

Country_Region USA

Testing_Methods ed; oral chall

Specialty None listed

State_Province Texas

Last Husain

First Syed

Middle A

Degree MS, PHARM

Phone 832‐457‐7144

Fax

Address 4601 Birch St.

Address2

City Bellaire

ZIP_Postal Code 77401

Country_Region USA

Testing_Methods idt; pn

Specialty Pharmacy

Wednesday, July 10, 2019 Page 114 of 154

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State_Province Texas

Last Hotze

First Steven

Middle F

Degree MD

Phone 281‐579‐3600

Fax 281‐579‐3698

Address 20214 Braidwood Dr., Ste. 215

Address2

City Katy

ZIP_Postal Code 77450

Country_Region USA

Testing_Methods id; pid; pn; ed; oral chall

Specialty A; Wellness Medicine

State_Province Texas

Last Parker

First Ronald

Middle L

Degree PA

Phone 281‐579‐3600

Fax 281‐579‐3698

Address 20214 Braidwood Dr., Ste. 215

Address2

City Katy

ZIP_Postal Code 77450

Country_Region USA

Testing_Methods id; pid; pn; ed; oral chall

Specialty A; OTO

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State_Province Texas

Last Ellsworth

First Donald

Middle P

Degree MD

Phone 281‐579‐3600

Fax 281‐579‐3698

Address 20214 Braidwood Dr., Ste. 215

Address2

City Katy

ZIP_Postal Code 77450

Country_Region USA

Testing_Methods MQT; pnid; pnsl

Specialty Functional Medicine

State_Province Texas

Last Jalal

First Yasmeen

Middle

Degree MD

Phone 281‐265‐1160

Fax 281‐285‐1260

Address 3521 Town Center Blvd. S.

Address2 #B

City Sugar Land

ZIP_Postal Code 77479

Country_Region USA

Testing_Methods pid

Specialty ENT

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State_Province Texas

Last White

First Dina

Middle

Degree MD

Phone 281‐494‐4900

Fax

Address 16651 SW Fwy, #100

Address2

City Sugar Land

ZIP_Postal Code 77479

Country_Region USA

Testing_Methods id; psl

Specialty

State_Province Texas

Last Alford

First Jeffery

Middle

Degree MD

Phone 281‐494‐4900

Fax 281‐494‐4905

Address 16651 Southwest Fwy.

Address2 #100

City Sugar Land

ZIP_Postal Code 77479

Country_Region USA

Testing_Methods id; psl; ed

Specialty FP

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State_Province Texas

Last Sheridan

First David

Middle P

Degree MD

Phone 281‐705‐6690

Fax

Address 3910 Bianca Spring Lane

Address2

City Katy

ZIP_Postal Code 77494

Country_Region USA

Testing_Methods

Specialty A; Wellness Medicine

State_Province Texas

Last Gilani

First Bushra

Middle Sohrab

Degree BA

Phone 281‐968‐9260

Fax

Address Ancillary Healthcare Serv.

Address2 3130 Grants Lake Blvd., #16912

City Sugar Land

ZIP_Postal Code 77496

Country_Region USA

Testing_Methods scratch

Specialty None listed

Wednesday, July 10, 2019 Page 118 of 154

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State_Province Texas

Last Gilani

First Sohrab

Middle Adil

Degree MBA, BS

Phone 281‐968‐9260

Fax

Address Ancillary Healthcare Serv.

Address2 3130 Grants Lake Blvd., #16912

City Sugar Land

ZIP_Postal Code 77496

Country_Region USA

Testing_Methods scratch

Specialty None listed

State_Province Texas

Last Sachdev

First Lisa

Middle

Degree DO

Phone 281‐542‐7800

Fax 281‐542‐7731

Address Nova Wellness Center

Address2 400 North Texas Ave., Ste. C

City Webster

ZIP_Postal Code 77598

Country_Region USA

Testing_Methods id; ed

Specialty FP

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State_Province Texas

Last Duplan

First Don

Middle A.

Degree MD

Phone 409‐722‐5000

Fax 409‐722‐0351

Address 2501 Jimmy Johnson Blvd., Suite 305

Address2

City Port Arthur

ZIP_Postal Code 77640

Country_Region USA

Testing_Methods id; pid; psl; RAST; ed; oral chall

Specialty OTO; A

State_Province Texas

Last Herndon

First M.

Middle Boyd

Degree DO

Phone 409‐729‐6401

Fax 409‐729‐6015

Address 886 Sierra Drive

Address2

City Port Neches

ZIP_Postal Code 77651

Country_Region USA

Testing_Methods id; TOE; idpn; pnsl; ed

Specialty ENT; A

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State_Province Texas

Last Crossley

First Michael

Middle K.

Degree MD

Phone 409‐783‐2277

Fax 409‐783‐2701

Address 395 N. Main St.

Address2

City Vidor

ZIP_Postal Code 77662

Country_Region USA

Testing_Methods None listed

Specialty ER

State_Province

Last

First

Middle

Degree

Phone

Texas

Shipman

Nolan

D

MD

Fax

Address

Address2

City Bryan

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

77802

USA

Retired

ENT

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State_Province

Last

First

Middle

Degree

Phone

Texas

Mabray

C.

Richard

MD

Fax

Address

Address2

City

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

Victoria

77904‐1651

USA

Retired 

OBG; A

State_Province Texas

Last Vieyra

First George

Middle R.

Degree MD

Phone 830‐589‐7731

Fax

Address 3957 Kyle Ranch Rd.

Address2

City Bandera

ZIP_Postal Code 78003

Country_Region USA

Testing_Methods id; pid; RAST

Specialty OTO

Wednesday, July 10, 2019 Page 122 of 154

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State_Province Texas

Last Jung

First Mark

Middle

Degree MD

Phone 210‐902‐9484

Fax

Address 101 Elm Springs Dr.

Address2

City Boerne

ZIP_Postal Code 78006

Country_Region USA

Testing_Methods

Specialty

State_Province

Last

First

Middle

Degree

Phone

Texas

Schwarz

R

Marc

MD, PhD

Fax

Address

Address2

City

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

Boerne

78006‐1719

USA

Retired

FP; A

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State_Province Texas

Last Sosa

First Jose

Middle I.

Degree MD

Phone 830‐334‐5856

Fax 830‐334‐5760

Address 151 Medical Drive

Address2

City Pearsall

ZIP_Postal Code 78061

Country_Region USA

Testing_Methods None listed

Specialty FP

State_Province Texas

Last Nelson

First Jason

Middle A.

Degree MD

Phone 830‐625‐0305

Fax 830‐625‐2693

Address 774 Landa St.

Address2

City New Braunfels

ZIP_Postal Code 78130

Country_Region USA

Testing_Methods pid; pn; ed

Specialty FP

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State_Province Texas

Last Gruhlkey

First Jay

Middle L.

Degree MD

Phone 830‐626‐9911

Fax 830‐626‐9922

Address 301 Main Plaza #342

Address2

City New Braunfels

ZIP_Postal Code 78130

Country_Region USA

Testing_Methods id; sl; ed

Specialty FP

State_Province Texas

Last Dubensky

First Jan

Middle

Degree PA‐C

Phone 830‐626‐9911

Fax

Address Lonestar Medical

Address2 952 Gruene Rd., #150

City New Braunfels

ZIP_Postal Code 78130

Country_Region USA

Testing_Methods id; in vitro; ed

Specialty

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State_Province Texas

Last Tyler

First Michael

Middle E

Degree MD

Phone 210‐491‐9441

Fax 210‐491‐9480

Address 14615 San Pedro Ave., #235

Address2

City San Antonio

ZIP_Postal Code 78232

Country_Region USA

Testing_Methods pid; psl

Specialty FP

State_Province Texas

Last Syms, III

First Charles

Middle A.

Degree MD

Phone 210‐614‐6070

Fax 210‐858‐1184

Address 21 Spurs Lane #100

Address2

City San Antonio

ZIP_Postal Code 78240

Country_Region USA

Testing_Methods pid; psl; ImmunoCap; idpn; pnsl; ed; oral chall

Specialty OTO; NEUROLOGY

Wednesday, July 10, 2019 Page 126 of 154

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State_Province Texas

Last Hernandez

First Caroline

Middle

Degree MD

Phone 210‐523‐9933

Fax 210‐647‐0242

Address Westover Hills Clinic

Address2 1911 Rogers Rd.

City San Antonio

ZIP_Postal Code 78251

Country_Region USA

Testing_Methods None listed

Specialty IM

State_Province Texas

Last Rigonan

First Alma

Middle S.

Degree MD

Phone 361‐883‐3683

Fax 361‐653‐0717

Address 2418 Morgan Avenue

Address2

City Corpus Christi

ZIP_Postal Code 78405

Country_Region USA

Testing_Methods id; prick

Specialty PD; A

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State_Province Texas

Last Almouie

First Muhamad

Middle

Degree MD

Phone 361‐767‐9963

Fax 361‐767‐8477

Address 14041 Northwest Blvd., #1

Address2

City Corpus Christi

ZIP_Postal Code 78410

Country_Region USA

Testing_Methods id; in vitro; scratch; ed; oral chall

Specialty PD

State_Province Texas

Last Oshman

First Joseph

Middle

Degree

Phone

MD

Fax

Address

Address2

City Corpus Christi

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

78411

USA

Retired

PD; PDA

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State_Province Texas

Last Moran

First J.

Middle Patrick

Degree MD

Phone 361‐852‐2011

Fax 361‐852‐6211

Address 3401‐C Ocean Drive

Address2

City Corpus Christi

ZIP_Postal Code 78411‐1408

Country_Region USA

Testing_Methods Semi‐retired  ‐ id; ed; rd

Specialty OTO; A

State_Province Texas

Last Martinez

First Frank

Middle

Degree MD

Phone 361‐992‐1600

Fax 361‐992‐0176

Address 5920 Saratoga Blvd.

Address2 #320

City Corpus Christi

ZIP_Postal Code 78414

Country_Region USA

Testing_Methods id; pn; ed

Specialty None listed

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State_Province Texas

Last Montano

First Pedro

Middle

Degree MD

Phone 956‐686‐3375

Fax 956‐686‐1314

Address 1623 Pecan Blvd., #B

Address2

City McAllen

ZIP_Postal Code 78501

Country_Region USA

Testing_Methods

Specialty

State_Province Texas

Last Anderson, Jr.

First C.

Middle Lynn

Degree MD

Phone 956‐982‐1001

Fax 956‐982‐1938

Address 3302 Boca Chica, #109

Address2

City Brownsville

ZIP_Postal Code 78521

Country_Region USA

Testing_Methods id; pn

Specialty FP

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State_Province Texas

Last Mackie

First Eugene

Middle

Degree MD

Phone 956‐631‐2957

Fax 956‐631‐1983

Address 2401 Cornerstone Blvd.

Address2

City Edinburg

ZIP_Postal Code 78539

Country_Region USA

Testing_Methods

Specialty None listed

State_Province Texas

Last Sanchez

First Mario

Middle

Degree DO

Phone 956‐793‐3114

Fax

Address 106 N. Main St.

Address2

City La Feria

ZIP_Postal Code 78559

Country_Region USA

Testing_Methods psl

Specialty FP

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State_Province Texas

Last Castrillon

First Augusto

Middle A.

Degree MD

Phone 956‐519‐9333

Fax 956‐519‐9353

Address 1300 S. Bryan Rd. #100

Address2

City Mission

ZIP_Postal Code 78572

Country_Region USA

Testing_Methods pid; prick

Specialty FP

State_Province Texas

Last Escandon

First Jose

Middle A.

Degree MD

Phone 986‐519‐9333

Fax 986‐519‐9353

Address 1300 S. Bryan Rd., #100

Address2

City Mission

ZIP_Postal Code 78572

Country_Region USA

Testing_Methods per intra test

Specialty IM

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State_Province Texas

Last Peet

First Jason

Middle

Degree MD

Phone 830‐997‐5559

Fax 830‐997‐5558

Address 110 E. Live Oak

Address2

City Fredericksburg

ZIP_Postal Code 78624

Country_Region USA

Testing_Methods id; pid; psl; RAST; pn; pnsl; ed

Specialty FP

State_Province Texas

Last Gilcrease

First Gary

Middle L

Degree MD

Phone 512‐295‐9300

Fax 512‐295‐7300

Address 135 Bunton Creek Rd., #102

Address2

City Kyle

ZIP_Postal Code 78640‐5701

Country_Region USA

Testing_Methods None listed

Specialty FP

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State_Province Texas

Last Rogers

First Monica

Middle R

Degree FNP

Phone 512‐295‐9300

Fax 512‐295‐7300

Address c/o Gary L. Gilcrease, MD

Address2 135 Bunton Creek Rd., #102

City Kyle

ZIP_Postal Code 78640‐5701

Country_Region USA

Testing_Methods None listed

Specialty None listed

State_Province Texas

Last Wallis

First Jack

Middle W

Degree MD

Phone 512‐754‐7700

Fax 512‐754‐0012

Address 2108 Hunter Rd. #116

Address2

City San Marcos

ZIP_Postal Code 78666

Country_Region USA

Testing_Methods idt; pn; ed

Specialty FP

Wednesday, July 10, 2019 Page 134 of 154

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State_Province Texas

Last Lee

First A. Lane

Middle

Degree MD

Phone 512‐396‐7686

Fax 512‐396‐8006

Address San Marcos Family Medicine

Address2 2406 Hunter Road, #106

City San Marcos

ZIP_Postal Code 78666

Country_Region USA

Testing_Methods id; RAST; pnid; pnsl

Specialty FP

State_Province

Last

First

Middle

Degree

Phone

Texas

Cobb, Jr.

Albert

H

MD

Fax

Address

Address2

City San Marcos

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

78666

USA

Retired

OTO; A

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State_Province Texas

Last Randolph

First Mark

Middle B

Degree MD

Phone 512‐878‐6330

Fax 512‐878‐6941

Address P.O. Box 1621

Address2

City San Marcos

ZIP_Postal Code 78667

Country_Region USA

Testing_Methods id; pn; ed; oral chall

Specialty FP

State_Province Texas

Last Albertson

First Gary

Middle R

Degree DO

Phone 512‐769‐3282

Fax 512‐462‐1809

Address 4303 Victory Drive

Address2

City Austin

ZIP_Postal Code 78704

Country_Region USA

Testing_Methods ed; cluster therapy; SCIT

Specialty FP

Wednesday, July 10, 2019 Page 136 of 154

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State_Province Texas

Last Winegar

First Bradford

Middle C

Degree MD

Phone 512‐454‐0392

Fax 512‐454‐1233

Address 3705 Medical Pkwy #320

Address2

City Austin

ZIP_Postal Code 78705

Country_Region USA

Testing_Methods None listed

Specialty OTO

State_Province Texas

Last Warfield

First Kimberly

Middle

Degree MD

Phone 512‐834‐9999

Fax 512‐834‐9998

Address 11673 Jolleyville Rd.

Address2 Ste. 205

City Austin

ZIP_Postal Code 78759

Country_Region USA

Testing_Methods id; pn; pnsl; IMMUNOCAP; RAST

Specialty IM; FP

Wednesday, July 10, 2019 Page 137 of 154

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State_Province Texas

Last Reichert

First David

Middle

Degree BSPharm, PharmD

Phone 512‐720‐9590

Fax

Address 8417 Eteinne Cove

Address2

City Austin

ZIP_Postal Code 78759

Country_Region USA

Testing_Methods in vitro; scratch

Specialty Pharmacy

State_Province Texas

Last Grossmann

First Alicia

Middle

Degree MD

Phone 512‐568‐3565

Fax 512‐834‐9998

Address 11673 Jollyville Rd., #205

Address2

City Austin

ZIP_Postal Code 78759

Country_Region USA

Testing_Methods None listed

Specialty IM

Wednesday, July 10, 2019 Page 138 of 154

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State_Province Texas

Last McClanahan

First Mark

Middle

Degree DO

Phone 806‐288‐7891

Fax 806‐288‐7920

Address 1806 Quincy St.

Address2

City Plainview

ZIP_Postal Code 79072

Country_Region USA

Testing_Methods id; pid; pn; ed

Specialty FP

State_Province Texas

Last Ehle

First Eric

Middle

Degree DO

Phone 806‐355‐3955

Fax 806‐340‐7975

Address 7 Medical Dr.

Address2

City Amarillo

ZIP_Postal Code 79106

Country_Region USA

Testing_Methods None listed

Specialty FP

Wednesday, July 10, 2019 Page 139 of 154

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State_Province Texas

Last Hord

First M.

Middle Shane

Degree MD

Phone 806‐637‐0344

Fax 806‐637‐1117

Address 706 E. Felt

Address2

City Brownfield

ZIP_Postal Code 79316

Country_Region USA

Testing_Methods id

Specialty FP

State_Province Texas

Last Hisel

First Christopher

Middle G

Degree MD

Phone 806‐637‐0344

Fax 806‐637‐1117

Address 706 E. Felt

Address2

City Brownfield

ZIP_Postal Code 79316

Country_Region USA

Testing_Methods id

Specialty FP

Wednesday, July 10, 2019 Page 140 of 154

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State_Province Texas

Last Roffers, II

First Gene

Middle Michael

Degree DO

Phone 806‐698‐8088

Fax 806‐698‐8588

Address 7008 Indiana Ave., #A

Address2

City Lubbock

ZIP_Postal Code 79413

Country_Region USA

Testing_Methods None listed

Specialty FP

State_Province Texas

Last Franklin

First Rodney

Middle T

Degree MD

Phone 806‐698‐8088

Fax 806‐698‐8588

Address 7008 Indiana Ave., #A

Address2

City Lubbock

ZIP_Postal Code 79413

Country_Region USA

Testing_Methods id; pid

Specialty FP; A

Wednesday, July 10, 2019 Page 141 of 154

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State_Province Texas

Last Vermillion

First David

Middle L

Degree MD

Phone 806‐698‐8088

Fax 806‐698‐8588

Address 7008 Indiana Ave., #A

Address2

City Lubbock

ZIP_Postal Code 79413

Country_Region USA

Testing_Methods id; pid

Specialty FP; A

State_Province Texas

Last Villegas

First Mario

Middle Cesar

Degree MD

Phone 915‐383‐1197

Fax

Address 1503 Sioux Drive

Address2

City El Paso

ZIP_Postal Code 79925

Country_Region USA

Testing_Methods None listed

Specialty FP

Wednesday, July 10, 2019 Page 142 of 154

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State_Province Utah

Last Heras

First Heidi

Middle A.

Degree MD

Phone 801‐493‐7662

Fax

Address 482 W. 50 North St., #14

Address2

City American Fort

ZIP_Postal Code 84003

Country_Region USA

Testing_Methods id; sl; pn;ed

Specialty OTO

State_Province Utah

Last Anderson

First Marc

Middle

Degree MD

Phone 801‐773‐4840

Fax

Address 2121 N. 1700 W

Address2

City Layton

ZIP_Postal Code 84041

Country_Region USA

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 143 of 154

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State_Province Utah

Last Catten

First Michael

Middle

Degree MD

Phone 435‐722‐6144

Fax 435‐722‐6122

Address 210 W 300 N, #75‐3

Address2

City Roosevelt

ZIP_Postal Code 84066

Country_Region USA

Testing_Methods

Specialty OTO‐HNS

State_Province Vermont

Last Fagelson

First Robert

Middle S

Degree MD

Phone 802‐257‐0557

Fax 802‐257‐5460

Address Vermont ENT Associates

Address2 15 Fairview St.

City Brattleboro

ZIP_Postal Code 05301

Country_Region USA

Testing_Methods id

Specialty OTO; A

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State_Province Virgin Islands

Last Shapiro

First Adam

Middle

Degree MD

Phone 340‐774‐8881

Fax 340‐774‐1569

Address 9149 Estate Thomas, #308

Address2

City St. Thomas

ZIP_Postal Code 00802

Country_Region USA

Testing_Methods pid; pn; pnsl; ed; oral chall

Specialty OTO

State_Province Virginia

Last Shaw

First Michael

Middle B

Degree DO

Phone

Fax

Address

Address2

City Blacksburg

ZIP_Postal Code

Country_Region

Testing_Methods

Specialty

24060

USA

Retired

ENT

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State_Province Virginia

Last Potter, Jr.

First James

Middle T.

Degree MD

Phone 276‐219‐7619

Fax

Address 159 Ridgefield Rd.

Address2

City Wise

ZIP_Postal Code 24293

Country_Region USA

Testing_Methods RAST; ed; oral chall

Specialty PED; A

State_Province Washington

Last Kimiai

First Nazanin

Middle

Degree ND

Phone 425‐823‐8818

Fax 425‐823‐8817

Address 11656 98th Ave NE

Address2

City Kirkland

ZIP_Postal Code 98034

Country_Region USA

Testing_Methods

Specialty GP

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State_Province Washington

Last Buscher

First David

Middle

Degree MD

Phone 425‐284‐1586

Fax 425‐284‐4379

Address 8195 166th Ave. NE, #101

Address2

City Redmond

ZIP_Postal Code 98052

Country_Region USA

Testing_Methods id; pid; psl; pn; ed; oral chall

Specialty EM

State_Province Washington

Last Jungkeit

First Michael

Middle

Degree MD

Phone 360‐697‐1414

Fax 360‐697‐3939

Address 22180 Olympic College Way

Address2 #202

City Pulsbo

ZIP_Postal Code 98370

Country_Region USA

Testing_Methods pid; psl

Specialty OTO

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State_Province Washington

Last Speidel

First Stephen

Middle D.

Degree MD

Phone 360‐697‐2122

Fax

Address 19586 10th Ave.

Address2

City Poulsbo

ZIP_Postal Code 98370

Country_Region USA

Testing_Methods

Specialty

State_Province Washington

Last Bronoske

First Melissa

Middle

Degree PA‐C

Phone 253‐446‐3233

Fax

Address 11102 Sunrise Blvd. E

Address2 #109

City Puyallup

ZIP_Postal Code 98514

Country_Region USA

Testing_Methods

Specialty

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State_Province Washington

Last West

First Sheri

Middle

Degree MA

Phone 509‐789‐5735

Fax

Address Columbia Surg. Specialists

Address2 217 W. Cataldo

City Spokane

ZIP_Postal Code 99201

Country_Region USA

Testing_Methods id; RAST

Specialty

State_Province West Virginia

Last Betler

First Lori

Middle L.

Degree PA‐C

Phone 304‐637‐6302

Fax

Address c/o Jenny L. Cross, MD

Address2 911 Gorman Ave., #201

City Elkins

ZIP_Postal Code 26241

Country_Region USA

Testing_Methods id; pid; psl; pn; pnsl; ed; oral chall

Specialty

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State_Province West Virginia

Last Cross

First Jenny

Middle L

Degree MD

Phone 304‐637‐6302

Fax 304‐637‐6307

Address 911 Gorman Ave., #201

Address2

City Elkins

ZIP_Postal Code 26241

Country_Region USA

Testing_Methods id; pid; psl; in vitro; pn; pnsl; ed; oral chall

Specialty ENT

State_Province West Virginia

Last Gregory

First Crystal

Middle

Degree PA‐C, MS

Phone 304‐637‐6302

Fax

Address c/o Jenny L. Cross, MD

Address2 911 Gorman Ave., #201

City Elkins

ZIP_Postal Code 26241

Country_Region USA

Testing_Methods pn; pid; psl; ed; oral chall

Specialty

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State_Province West Virginia

Last Knotts

First Tamara

Middle L.

Degree LPNII

Phone 681‐342‐3584

Fax

Address c/o Kevin S. Oxley, M.D.

Address2 527 Medical Park Dr., #501

City Bridgeport

ZIP_Postal Code 26330

Country_Region USA

Testing_Methods id; pid; RAST; histamine; Fluogen; pn; ed

Specialty

State_Province West Virginia

Last Rockhead

First Curt

Middle

Degree LPN

Phone 681‐342‐3579

Fax

Address c/o Keven S. Oxley, MD

Address2 527 Medical Park Dr., #501

City Bridgeport

ZIP_Postal Code 26330

Country_Region USA

Testing_Methods id; pid; RAST; Fluogen; Histamine; idpn; ed

Specialty None listed

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State_Province West Virginia

Last Burns

First Nina

Middle D

Degree LPN

Phone 304‐642‐3896

Fax

Address 92 Ferguson St.

Address2

City Shinnston

ZIP_Postal Code 26431

Country_Region USA

Testing_Methods id; pid; RAST; his. titration; Fluogen; ed; pn

Specialty

State_Province Wisconsin

Last Toth

First Glenn

Middle A

Degree MD

Phone 262‐547‐3055

Fax 262‐547‐2129

Address 817 N. East Avenue

Address2

City Waukesha

ZIP_Postal Code 53186

Country_Region USA

Testing_Methods id; pid; psl; IgE; IgG; pn; oral chall; ALCAT

Specialty FP

Wednesday, July 10, 2019 Page 152 of 154

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State_Province Wisconsin

Last Kroker

First George

Middle F

Degree MD

Phone 608‐782‐2027

Fax 608‐782‐6172

Address Allergy Assoc. of La Crosse

Address2 2727 Midwest Drive

City Onalaska

ZIP_Postal Code 54650‐6758

Country_Region USA

Testing_Methods id; pn; pnsl; ELISA; IgE; ed; oral chall

Specialty A; IM

State_Province Wisconsin

Last DeFatta

First Robert

Middle

Degree MD, PhD

Phone 715‐828‐2368

Fax 715‐839‐7796

Address DeFatta ENT & FP Surgery

Address2 1490 Rivers Edge Trail

City Altoona

ZIP_Postal Code 54720

Country_Region USA

Testing_Methods id; pid; psl; pn; pnsl; ed

Specialty

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State_Province Wyoming

Last Swift

First Ian

Middle R.

Degree MD

Phone 307‐670‐8290

Fax 307‐670‐8291

Address 407 S. Medical Arts Court, Ste. F

Address2

City Gillette

ZIP_Postal Code 82716

Country_Region USA

Testing_Methods id; pid; psl; pn; RAST

Specialty OTO

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MemberDirectory_20190709_International

Country_Region Australia

Last Westaway

First Mark

Middle

Degree MD

Phone 011‐46‐143‐242‐8103

Fax

Address 2051 Roghan Rd.

Address2

City Bridgeman Downs

State_Province Queensland

ZIP_Postal Code 4035

Testing_Methods id; pn; idpn; pnsl; ed

Specialty FP

Country_Region Canada

Last Ouedraogo

First Nabassinogo

Middle

Degree MD

Phone 819‐212‐7108

Fax

Address 7345 Rue du Corbeau

Address2

City Laval

State_Province Quebec

ZIP_Postal Code H7A 4G5

Testing_Methods

Specialty

Wednesday, July 10, 2019 Page 1 of 3

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Country_Region Canada

Last Obuekwe

First Ifechukwude

Middle C.

Degree MD

Phone 907‐770‐6700

Fax 907‐770‐6707

Address 201 10127 121 Avenue

Address2

City Grand Prairie

State_Province Alberta

ZIP_Postal Code T8V 7V3

Testing_Methods

Specialty

Country_Region Jamaica

Last Griffith

First Anona

Middle

Degree MD

Phone 876‐396‐6240

Fax

Address 17 Princess Alice Dr., #2

Address2 Kingston 7

City Kingston

State_Province

ZIP_Postal Code

Testing_Methods None listed

Specialty PD

Wednesday, July 10, 2019 Page 2 of 3

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Country_Region Korea

Last Kim

First Mee Ja

Middle

Degree MD

Phone 02‐444‐4322

Fax 02‐444‐4307

Address Youngmasan No. 5

Address2 Kwang Jin Gu

City Seoul

State_Province

ZIP_Postal Code 133‐220

Testing_Methods id; pid; MAST; pn

Specialty OTO

Country_Region Mexico

Last Suarez

First Jesus

Middle E

Degree MD

Phone 618‐827‐2723

Fax

Address Pereyra 404 OTE

Address2

City Durango

State_Province

ZIP_Postal Code 34000

Testing_Methods id; psl

Specialty None listed

Wednesday, July 10, 2019 Page 3 of 3