Allen, Jason Wells

Allen, Jason Wells is an individual health care provider with primary practice located at 1325 Pennsylvania Ave Suite 400, Fort Worth TX 76104-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Allen, Jason Wells can be contacted via phone (817) 250-5900.

Contact Information

Primary practice address
1325 Pennsylvania Ave Suite 400 Fort Worth TX 76104-2128
Fax: (817) 250-5901
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X N2369 Texas

Profile Details

NPI number 1033328067
LBN Legal business name Allen, Jason Wells
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Sep 30th, 2011 - about 14 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 1033328067 NPPES
Texas MEDICAID 215660601
Texas Other P00867270

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