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NPI Code Detail

MEDICARE: DR. MICHAEL JAMES ALLEN II M.D.

MEDICARE: DR. MICHAEL JAMES ALLEN II M.D.
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
1207Q00000XFamily Medicine PhysicianS2213TX

General Provider Information

NPI Number : 1770932766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JAMES ALLEN II M.D.
Provider Business Mailing Address
First Line : 2220 E LEAGUE CITY PKWY STE 200
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2100
Country : US
Telephone Number : 281-523-3110
Fax Number :
Provider Business Practice Location Address
First Line : 2220 E LEAGUE CITY PKWY
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77573-2100
Country : US
Telephone Number : 281-523-3110
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2016
Last Update Date : 09/12/2024

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