Charles W Allen Mdpa

NPI #1073845574 in Deer Park, Texas

Provider Information

NPI Number: 1073845574
Entity Type: Organization
Organization Name: Charles W Allen Mdpa
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Feb 8, 2010
Last Updated: Feb 8, 2010

Practice Location

Address: 2810 CENTER ST
Address 2: SUITE 101
City: Deer Park
State: Texas
ZIP Code: 77536-4987
Phone: (281) 479-1363

Authorized Official

Name: DR. CHARLES W ALLEN, MD
Title: PRESIDENT
Phone: (281) 479-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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