Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | J6850 | TX |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | J6850 | TX |
NPI | 1013976455 |
---|---|
Provider Name | Dr. Steven R. Allen |
First Address | Dallas, TX 75284-4658 |
Second Address | Temple, TX 76508-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 04/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1051971-01 | CSHCN (01) | TX |
1051971-02 | (05) | TX |
160050397 | RR/MEDICARE (01) | TX |
86J288 | BLUE SHIELD (01) | TX |
D65739 | (02) | TX |