Allen, Marcus L

Allen, Marcus L is an individual health care provider with primary practice located at 3414 Oak Grove Ave , Dallas TX 75204-2375. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Allen, Marcus L can be contacted via phone (214) 521-1153.

Contact Information

Primary practice address
3414 Oak Grove Ave Dallas TX 75204-2375
Fax: (214) 219-3651
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L8592 Texas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X L8592 Texas

Profile Details

NPI number 1164481297
LBN Legal business name Allen, Marcus L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 21st, 2022 - about 2 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 1164481297 NPPES
Texas MEDICAID 166084704
Texas MEDICAID 166084702
Texas MEDICAID 166084703
Texas Other 8V2070
Texas Other P00361960

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