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Individual

DR. COBURN HUCKINS ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1800
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-0093

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
K2637
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
K2637
TX
2080P0208X
Pediatric Infectious Diseases Physician
Primary
K2637
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116264601
TX
Enumeration date
06/24/2005
Last updated
08/02/2013
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