Healthcare Provider Details

I. General information

NPI: 1962581231
Provider Name (Legal Business Name): ALLEN DEUTSCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 10/24/2020
Certification Date: 10/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6708 FERRIS ST
BELLAIRE TX
77401-3919
US

IV. Provider business mailing address

6708 FERRIS ST
BELLAIRE TX
77401-3919
US

V. Phone/Fax

Practice location:
  • Phone: 713-263-3887
  • Fax: 713-814-4911
Mailing address:
  • Phone: 713-263-3887
  • Fax: 713-814-4911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberK9764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: