MEDICARE: ANDREW R ALLMAN PA

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
1	363A00000X	Physician Assistant	PA11376	TX

General Provider Information

NPI Number	:	1528305828
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW R ALLMAN PA

Provider Business Mailing Address
First Line	:	5421B HUGHES COURT
Second Line	:
City	:	FORT POLK
State	:	LA
Zip	:	71459
Country	:	US
Telephone Number	:	910-797-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	CCO 6TH BN, 353RD REG
Second Line	:
City	:	FORT POLK
State	:	LA
Zip	:	71459
Country	:	US
Telephone Number	:	337-653-2988
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2013
Last Update Date	:	03/13/2026

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