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NPI Code Detail

MEDICARE: MS. JANET GALE ALLEN CRNA

MEDICARE: MS. JANET GALE ALLEN CRNA
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
1367500000XCertified Registered Nurse Anesthetist230418TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174590236
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANET GALE ALLEN CRNA
Provider Business Mailing Address
First Line : PO BOX 650426
Second Line :
City : DALLAS
State : TX
Zip : 75265-0426
Country : US
Telephone Number : 972-715-5007
Fax Number : 972-715-5682
Provider Business Practice Location Address
First Line : 3500 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-2096
Country : US
Telephone Number : 214-820-2139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 10/16/2008

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Directions to “ MS. JANET GALE ALLEN CRNA” Practice Location

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