Individual
IRENE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-6140
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392368201
—
TX
01
—
392368202
CSHCN
TX
01
—
8KI729
BCBS
TX
Enumeration date
01/09/2017
Last updated
02/15/2019
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