Allen, Ted W

Allen, Ted W is an individual health care provider with primary practice located at 3611 22Nd Pl , Lubbock TX 79410-1317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Allen, Ted W can be contacted via phone (806) 799-7928.

Contact Information

Primary practice address
3611 22Nd Pl Lubbock TX 79410-1317
Phone: (806) 799-7928
Fax: (806) 788-8560
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D3127 Texas

Profile Details

NPI number 1003830217
LBN Legal business name Allen, Ted W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Oct 6th, 2017 - about 8 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 1003830217 NPPES
Texas Other D3127 LICENSE
Texas MEDICAID 130248107 LICENSE

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