Allen, Vicki Jo

Allen, Vicki Jo is an individual health care provider with primary practice located at 4001 Long Prairie Rd Suite 150, Flower Mound TX 75028-1565. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Allen, Vicki Jo can be contacted via phone (972) 420-1470.

Contact Information

Primary practice address
4001 Long Prairie Rd Suite 150 Flower Mound TX 75028-1565
Fax: (972) 420-1465
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X J8437 Texas

Profile Details

NPI number 1932195831
LBN Legal business name Allen, Vicki Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Sep 11th, 2015 - about 9 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 1932195831 NPPES
Texas MEDICAID 047212801

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