Healthcare Provider Details

I. General information

NPI: 1457586885
Provider Name (Legal Business Name): DAVID EUGENE ALLEN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2009
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 ELIZABETH ST
CORPUS CHRISTI TX
78404-2235
US

IV. Provider business mailing address

1660 S STAPLES ST STE 150
CORPUS CHRISTI TX
78404-3156
US

V. Phone/Fax

Practice location:
  • Phone: 361-881-3000
  • Fax:
Mailing address:
  • Phone: 361-800-8155
  • Fax: 361-992-2590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberQ1074
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number328239-1205
License Number StateUT
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number29467
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberQ1074
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: