P Praxis·MD
● Active Type 1 · Individual

DR. John Mathew Poothullil, M.D.,F.R.C.P,F.A.A.P

Allergy & Immunology·Lake Jackson, TX· NPI 1134102528 · Enumerated 2005 · 20 years on NPI
Poothullil is 1 of 3 allergy & immunology providers in Lake Jackson and 1 of 506 in Texas.
NPI age
20 years
Enumerated 2005-11-21
Primary specialty
Allergy & Immunology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 506 active allergy & immunology providers in Texas.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-11Enumerated in NPPES
2005 2026

Where they practice

Practice location
201 Oak Dr S, Suite 106
Lake Jackson, TX 775665676
📞 9792978006fax 9792975919
Mailing address
201 Oak Dr S, Suite 106
Lake Jackson, TX 775665676
📞 9792978006fax 9792975919

Specialties

  • Allergy & Immunology Primary
    An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
    TX license #E6880 taxonomy 207K00000X

Identifiers

TypeValueNotes
01 (TX) 02914600-01 CIGNA
01 (TX) 10020011 AMERIKIDS
01 (TX) 02914600-14 CIGNA SELECT
01 (TX) 02914600-13 CIGNA HMO
01 (TX) 2225592 BCBS BLUE LINK

Practice context

Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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