Individual
MR. SHAWN ERIC ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
628 AZALEA AVE, ORANGE, TX 77630-4514
(409) 920-9591
Mailing address
628 AZALEA AVE, ORANGE, TX 77630-4514
(409) 920-9591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
604838
TX
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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