NPI | 1649306200 |
---|---|
Doing Business As | ALLEN FAMILY CLINIC, PA |
Entity Type | Organization |
Authorized Contact | JIM TALUKDER Administrator 972-359-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K1088) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K8485) |
207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K8485) | |
208000000X Pediatrics (Licence: TX K1088) | |
2080A0000X Pediatrics, Adolescent Medicine (Licence: TX K1088) | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |