Individual
DR. RICHARD C ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3705 MEDICAL PKWY STE 120, AUSTIN, TX 78705-1022
(512) 458-2141
(512) 458-4824
Mailing address
3705 MEDICAL PKWY STE 120, AUSTIN, TX 78705-1022
(512) 458-2141
(512) 458-4824
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2002-0262
NM
207W00000X
Ophthalmology Physician
33235
IA
207W00000X
Ophthalmology Physician
K9978
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
K9978
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117117504 (MDACC)
—
TX
05
—
708050
—
AZ
05
—
85104272
—
NM
01
—
NM001H54
BC BS OF NM
NM
01
—
P00323169
MEDICARE ID
NM
Enumeration date
08/09/2005
Last updated
09/20/2022
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