| Organization Name: | ROBERT C ALLENSWORTH MD,PA |
| NPI Number: | 1740470582 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT C ALLENSWORTH (OWNER) |
| Mailing Address: | 218 Sw 26th Ave Mineral Wells |
| State: | TX US |
| Postal Code: | 760678248 |
| Phone Number: | 9403252526 |
| Fax Number: | 9403251521 |
| NPI Enumeration Date: | 07/27/2007 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G7972 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |