Healthcare Provider Details

I. General information

NPI: 1437173168
Provider Name (Legal Business Name): PAUL JOSEPH ALLENCHERRIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14700 FM 2100 RD SUITE 2
CROSBY TX
77532-9161
US

IV. Provider business mailing address

15035 EAST FWY
CHANNELVIEW TX
77530-4135
US

V. Phone/Fax

Practice location:
  • Phone: 281-452-3983
  • Fax: 281-685-4180
Mailing address:
  • Phone: 281-452-3983
  • Fax: 281-695-1000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL9598
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: