| Ryan Allen, DC, LAT, ATC | |
|
7225 9th Ave Apt 826, Port Arthur, TX 77642-2085 | |
| (980) 229-9997 | |
| Not Available |
| Full Name | Ryan Allen |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 7225 9th Ave Apt 826, Port Arthur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558871491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 15406 (Texas) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | LAT-2533 (North Carolina) | Secondary |
| Provider Name | Durrum Chiropractic Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891115069 PECOS PAC ID: 0941526362 Enrollment ID: O20150303000099 |
| Provider Name | Renewed Health Clinic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205408564 PECOS PAC ID: 2769886050 Enrollment ID: O20210820000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Allen, DC, LAT, ATC 7225 9th Ave Apt 826, Port Arthur, TX 77642-2085 Ph: () - | Ryan Allen, DC, LAT, ATC 7225 9th Ave Apt 826, Port Arthur, TX 77642-2085 Ph: (980) 229-9997 |
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