Allen, Tana Marie

Allen, Tana Marie is an sole proprietor health care provider with primary practice located at 3801 E Us Highway 377 Ste 100 , Granbury TX 76049-7620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Tana Marie can be contacted via phone (817) 573-1380.

Contact Information

Primary practice address
3801 E Us Highway 377 Ste 100 Granbury TX 76049-7620
Phone: (817) 573-1380
Fax: (817) 573-1381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 943747 Texas

Profile Details

NPI number 1528605615
LBN Legal business name Allen, Tana Marie
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 8th, 2019
Last updated Mar 1st, 2023 - about last year

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 1528605615 NPPES
Texas MEDICAID 411116301

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