Allen, Gary R

Allen, Gary R is an individual health care provider with primary practice located at 5501 Gordon Smith Dr Ste 500 , Rowlett TX 75089-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Allen, Gary R can be contacted via phone (214) 703-8100.

Contact Information

Primary practice address
5501 Gordon Smith Dr Ste 500 Rowlett TX 75089-3209
Fax: (214) 703-3269
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E2434 Texas

Profile Details

NPI number 1710935465
LBN Legal business name Allen, Gary R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Oct 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710935465 NPPES
Texas MEDICAID 102160203

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