Healthcare Provider Details

I. General information

NPI: 1114020005
Provider Name (Legal Business Name): ANDREW T. ALLEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 N 15TH ST
ABILENE TX
79603-4430
US

IV. Provider business mailing address

1751 N 15TH ST
ABILENE TX
79603-4430
US

V. Phone/Fax

Practice location:
  • Phone: 325-721-8440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP2572
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: