Doctor Name: | DR. DAVID MATTHEW ALLEN |
NPI Number: | 1013957232 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 1533 |
Business Practice Address: | 1123 S Palestine St Suite 200 Athens, TX - 757513646 |
Business Phone Number: | 9036751337 |
Business Fax Number: | 9036754351 |
Mailing Address: | 1123 S Palestine St, #200 ATHENS |
State: | TX |
Postal Code: | 757513646 |
Phone Number: | 9036751337 |
Fax Number: | 9036754351 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 10/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 1533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |