| Dr Charles Tyler Allen, DC | |
|
710 E Park Blvd Ste 110, Plano, TX 75074-8854 | |
| (972) 850-1446 | |
| (972) 920-3858 |
| Full Name | Dr Charles Tyler Allen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 710 E Park Blvd Ste 110, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912444647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 13377 (Texas) | Primary |
| Provider Name | Reactiv Sport And Spine Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689440950 PECOS PAC ID: 4284085812 Enrollment ID: O20240109000808 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Tyler Allen, DC 710 E Park Blvd Ste 110, Plano, TX 75074-8854 Ph: (972) 850-1446 | Dr Charles Tyler Allen, DC 710 E Park Blvd Ste 110, Plano, TX 75074-8854 Ph: (972) 850-1446 |
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