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NPI Code Detail

MEDICARE: JAMES MARRON ALLISON PTA

MEDICARE: JAMES MARRON ALLISON PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant2152481TX

General Provider Information

NPI Number : 1093346348
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES MARRON ALLISON PTA
Provider Business Mailing Address
First Line : 7518 FARM ROAD 1567 W
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-8543
Country : US
Telephone Number : 903-366-6685
Fax Number :
Provider Business Practice Location Address
First Line : 210 PIPELINE RD
Second Line :
City : SULPHUR SPRINGS
State : TX
Zip : 75482-2131
Country : US
Telephone Number : 903-885-3589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2020
Last Update Date : 01/27/2020

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