Healthcare Provider Details

I. General information

NPI: 1639166002
Provider Name (Legal Business Name): ALLISON ARTHUR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13203 FRY RD SUITE 600
CYPRESS TX
77433-3668
US

IV. Provider business mailing address

PO BOX 841969
DALLAS TX
75284-1969
US

V. Phone/Fax

Practice location:
  • Phone: 281-304-5559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM1009
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: