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NPI Code Detail

MEDICARE: JAMES HIRAM ALLEN MD

MEDICARE: JAMES HIRAM ALLEN MD
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
1207Q00000XFamily Medicine PhysicianG7970TX

General Provider Information

NPI Number : 1912983362
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES HIRAM ALLEN MD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number : 325-597-2155
Provider Business Practice Location Address
First Line : 1700 UNIVERSITY DR E
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77840-2661
Country : US
Telephone Number : 979-637-3300
Fax Number : 325-597-2155
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2005
Last Update Date : 09/13/2017

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