Wegener, Allen C.

Wegener, Allen C. is an individual health care provider with primary practice located at 910 E Houston St Ste 600, Tyler TX 75702-8369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wegener, Allen C. can be contacted via phone (903) 526-2644.

Contact Information

Primary practice address
910 E Houston St Ste 600 Tyler TX 75702-8369
Phone: (903) 526-2644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X J2410 Texas

Profile Details

NPI number 1790747129
LBN Legal business name Wegener, Allen C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 17th, 2016 - 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 1790747129 NPPES
Texas Other 75-2616977-007 TRICARE-DOUGLAS
Texas MEDICAID 1178196-01 TRICARE-DOUGLAS
Texas Other 75-2616977-126 TRICARE-DOUGLAS
Texas Other 82736F TRICARE-DOUGLAS
Texas Other 340018326 TRICARE-DOUGLAS

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