Organization · Type 2 NPI
Charles W Allen Mdpa
Primary Care Clinic/Center · Deer Park, TX
NPI number
1073845574
Active
Practice location
2810 Center St, Suite 101
Deer Park, TX 77536-4987
Fax (281) 476-4113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | D2338 (TX) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1073845574
Charles W Allen Mdpa's National Provider Identifier is 1073845574, issued on Feb 8, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Deer Park, TX. The record was last updated on Feb 8, 2010.