Gwendolyn J. Allen, Md, Pa | |
1604 14th St Brownwood TX 76801-5314 | |
(325) 646-5296 | |
(325) 646-5820 |
Full Name | Gwendolyn J. Allen, Md, Pa |
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Speciality | Family Medicine |
Location | 1604 14th St, Brownwood, Texas |
Authorized Official Name and Position | Gwendolyn Joyce Allen (OWNER) |
Authorized Official Contact | 3256465296 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Gwendolyn J. Allen, Md, Pa 1604 14th St Brownwood TX 76801-5314 Ph: (325) 646-5296 | Gwendolyn J. Allen, Md, Pa 1604 14th St Brownwood TX 76801-5314 Ph: (325) 646-5296 |
NPI Number | 1346572880 |
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Provider Enumeration Date | 02/09/2010 |
Last Update Date | 05/27/2021 |
Medicare PECOS PAC ID | 0143358002 |
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Medicare Enrollment ID | O20100513000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346572880 | NPI | - | NPPES |
214607802 | Medicaid | TX |
Provider Name | Gwendolyn J Allen |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285694984 PECOS PAC ID: 5799869210 Enrollment ID: I20080222000184 |
Provider Name | Cheyenne Musick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073233359 PECOS PAC ID: 8325423510 Enrollment ID: I20220926000020 |
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