Doctor Name: | PATRICIA L ALLEN |
NPI Number: | 1013928043 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C |
License Number: | 588420 |
Business Practice Address: | 911 23rd St Canyon, TX - 790154600 |
Business Phone Number: | 8066552104 |
Business Fax Number: | 8066550522 |
Mailing Address: | 911 23rd St, CANYON |
State: | TX |
Postal Code: | 790154600 |
Phone Number: | 8066552104 |
Fax Number: | 8066550522 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 588420 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |