| Lisa E Allen Do Pllc | |
|
3131 Troup Hwy Tyler TX 75701-8350 | |
| (903) 510-7000 | |
| (903) 510-7005 |
| Full Name | Lisa E Allen Do Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3131 Troup Hwy, Tyler, Texas |
| Authorized Official Name and Position | Lisa E Allen (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9035107000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa E Allen Do Pllc P O Box 132913 Tyler TX 75713 Ph: (903) 510-7000 | Lisa E Allen Do Pllc 3131 Troup Hwy Tyler TX 75701-8350 Ph: (903) 510-7000 |
| NPI Number | 1689151805 |
|---|---|
| Provider Enumeration Date | 07/20/2018 |
| Last Update Date | 07/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689151805 | NPI | - | NPPES |
| M9794 | Other | TX | TEXAS MEDICAL BOARD NUMBER FOR OWNER OF THE BUSINESS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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