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NPI Code Detail

MEDICARE: ALLIE MISHAEL PERKINS

MEDICARE:   ALLIE MISHAEL PERKINS
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
1363AM0700XMedical Physician AssistantTX

General Provider Information

NPI Number : 1710825534
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLIE MISHAEL PERKINS
Provider Business Mailing Address
First Line : 2500 RIVER PARK DR APT 351
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-8542
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7929 BROOKRIVER DR STE 250
Second Line :
City : DALLAS
State : TX
Zip : 75247-4998
Country : US
Telephone Number : 832-338-6789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ ALLIE MISHAEL PERKINS ” Practice Location

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