Individual
DR. GARY EDWIN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13501 CHENAL PKWY STE 102, LITTLE ROCK, AR 72211-5262
(281) 888-8999
(281) 305-4054
Mailing address
P.O. BOX 735863, DALLAS, TX 75373-5863
(281) 888-8999
(281) 305-4054
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
C8226
AR
2085R0204X
Vascular & Interventional Radiology Physician
Primary
J9611
TX
Other
Enumeration date
05/24/2006
Last updated
07/02/2024
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