MEDICARE: STEPHEN JOSEPH ALLEN PT, MS

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	225100000X	Physical Therapist	1161680	TX
2	208100000X	Physical Medicine & Rehabilitation Physician	1161680	TX

General Provider Information

NPI Number	:	1487894226
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN JOSEPH ALLEN PT, MS

Provider Business Mailing Address
First Line	:	4608 NETT ST UNIT B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-5588
Country	:	US
Telephone Number	:	326-235-1178
Fax Number	:

Provider Business Practice Location Address
First Line	:	5711 CLEMENTSHIRE ST STE C
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77087-4047
Country	:	US
Telephone Number	:	832-408-0910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	08/25/2023

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