Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | E7434 | TX |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | E7434 | TX |
N | 207XS0117X | Orthopaedic Spine Surgeon | E7434 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | E7434 | TX |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | E7434 | TX |
NPI | 1831167733 |
---|---|
Provider Name | Allen S Kent |
First Address | Fort Worth, TX 76104-2519 |
Second Address | Fort Worth, TX 76104-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 30/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C17816 | (02) | TX |