MEDICARE: CHRISTOPHER GERY ALLEN

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	171M00000X	Case Manager/Care Coordinator
2	106S00000X	Behavior Technician		OK

General Provider Information

NPI Number	:	1558160978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER GERY ALLEN

Provider Business Mailing Address
First Line	:	12901 S WESTERN AVE APT 1403
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-6974
Country	:	US
Telephone Number	:	405-513-2501
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 LIBERTY LN
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-9432
Country	:	US
Telephone Number	:	405-548-1029
Fax Number	:

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

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	02/16/2026

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Directions to “ CHRISTOPHER GERY ALLEN ” Practice Location

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