Healthcare Provider Details

I. General information

NPI: 1477723286
Provider Name (Legal Business Name): ALLISON CRISTINA REMY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 02/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 FM 544 STE 100
LEWISVILLE TX
75056
US

IV. Provider business mailing address

2600 BLUE JAY CT
MCKINNEY TX
75072-5963
US

V. Phone/Fax

Practice location:
  • Phone: 817-337-6604
  • Fax: 817-337-6866
Mailing address:
  • Phone: 936-537-4060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA05743
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: