MEDICARE: ROBERT L. ALLRED MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	D8645	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00L45Z	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346275971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT L. ALLRED MD PA

Provider Business Mailing Address
First Line	:	PO BOX 938
Second Line	:
City	:	KILLEEN
State	:	TX
Zip	:	76540-0938
Country	:	US
Telephone Number	:	254-634-6999
Fax Number	:	254-200-4090

Provider Business Practice Location Address
First Line	:	2300 S CLEAR CREEK RD
Second Line	:	SUITE 203
City	:	KILLEEN
State	:	TX
Zip	:	76549-4984
Country	:	US
Telephone Number	:	254-628-1200
Fax Number	:	254-628-1744

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT L. ALLRED
Credential	:	MD
Telephone Number	:	254-628-1200

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	03/05/2012

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