Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 167 | TX |
Y | 222Z00000X | Podiatrist | 167 | TX |
N | 224P00000X | Prosthetist |
NPI | 1245428119 |
---|---|
Provider Name | Raymond F Allen |
First Address | Houston, TX 77225-0506 |
Second Address | Houston, TX 77030-5011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2007 |
Last Update Date | 20/11/2007 |