Allie Christine Black, PA-C

NPI #1851660336 in Odessa, Texas

Provider Information

NPI Number: 1851660336
Entity Type: Individual
Name: Allie Christine Black, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 29, 2011
Last Updated: Dec 29, 2011

Practice Location

Address: 3051 E UNIVERSITY BLVD
City: Odessa
State: Texas
ZIP Code: 79762-7902
Phone: (432) 362-4376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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