Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | BP10032436 | TX |
Y | 207Q00000X | Family Doctor | N8194 | TX |
NPI | 1003101866 |
---|---|
Provider Name | Allison L Hulme |
First Address | Waco, TX 76707-2261 |
Second Address | Waco, TX 76707-2261 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2011 |
Last Update Date | 30/11/2020 |