Individual
DR. DAVID MATTHEW ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1123 S PALESTINE ST, SUITE 200, ATHENS, TX 75751-3646
(903) 675-1337
(903) 675-4351
Mailing address
1123 S PALESTINE ST, #200, ATHENS, TX 75751-3646
(903) 675-1337
(903) 675-4351
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1533
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067GR
BCBS PROVIDER NUMBER
TX
01
—
1427226711
DME NPI
TX
05
—
146346501
—
TX
01
—
7119262
AETNA PROVIDER NUMBER
TX
01
—
8285178
BLUE LINK #
TX
Enumeration date
06/07/2006
Last updated
02/12/2024
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