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NPI Code Detail

MEDICARE: AMY RENEE ALLEN PA

MEDICARE: AMY RENEE ALLEN 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
1363A00000XPhysician AssistantPA13784TX

General Provider Information

NPI Number : 1962006304
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY RENEE ALLEN PA
Provider Business Mailing Address
First Line : 11500 STATE HIGHWAY 121 STE 510
Second Line :
City : FRISCO
State : TX
Zip : 75035-9348
Country : US
Telephone Number : 469-200-4093
Fax Number : 469-200-4079
Provider Business Practice Location Address
First Line : 11500 STATE HIGHWAY 121 STE 930
Second Line :
City : FRISCO
State : TX
Zip : 75035-9347
Country : US
Telephone Number : 469-200-4093
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2020
Last Update Date : 02/17/2026

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Directions to “ AMY RENEE ALLEN PA” Practice Location

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