# ALLISON MICHELLE TRAIL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356823272
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA10147 | TX | Yes |
| 363A00000X | Physician Assistant | PA12293 | TX | — |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 02/08/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 350178503 | — | TX |
| 01 | — | 350178504 | MEDICAID CSHCN | TX |
| 05 | — | 391716301 | — | TX |
| 01 | — | 391716302 | CSHCN- MEDICAID | TX |