MEDICARE: ALLEN'S NUTECH INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336N0007X	Nuclear Pharmacy
3	3336H0001X	Home Infusion Therapy Pharmacy

General Provider Information

NPI Number	:	1962264986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEN'S NUTECH INC.

Provider Business Mailing Address
First Line	:	1301 CLINIC DR
Second Line	:
City	:	TYLER
State	:	TX
Zip	:	75701-2120
Country	:	US
Telephone Number	:	903-574-0488
Fax Number	:

Provider Business Practice Location Address
First Line	:	4201 ARMORY RD
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76302-2207
Country	:	US
Telephone Number	:	940-761-1110
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DANNY RAY ALLEN
Credential	:	RPH
Telephone Number	:	903-592-8635

Provider Enumeration Date	:	01/25/2024
Last Update Date	:	07/10/2024

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