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NPI Code Detail

MEDICARE: KIMULIQUE H ALLEN MD

MEDICARE: KIMULIQUE H ALLEN MD
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
1207R00000XInternal Medicine PhysicianL4215TX

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
38618B7OTHERTXBC/BS

General Provider Information

NPI Number : 1801836713
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMULIQUE H ALLEN MD
Provider Business Mailing Address
First Line : 8440 WALNUT HILL LN STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75231-3825
Country : US
Telephone Number : 214-345-5999
Fax Number : 214-345-5988
Provider Business Practice Location Address
First Line : 8440 WALNUT HILL LN STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75231-3825
Country : US
Telephone Number : 214-345-5999
Fax Number : 214-345-5988
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 07/16/2021

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Directions to “ KIMULIQUE H ALLEN MD” Practice Location

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