Individual
MR. THOMAS W ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT
Contact information
Practice address
5201 ROSS RD, DEL VALLE, TX 78617-3202
(512) 386-3261
(512) 386-3489
Mailing address
8651 BARROW GLEN LOOP, AUSTIN, TX 78749-3623
(512) 750-3673
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0824
TX
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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