Individual
MARCUS L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Mailing address
3414 OAK GROVE AVE, DALLAS, TX 75204-2375
(214) 521-1153
(214) 219-3651
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
L8592
TX
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
L8592
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166084702
—
TX
05
—
166084703
—
TX
05
—
166084704
—
TX
01
—
8V2070
BCBS TX GRP 00T587
TX
01
—
P00361960
RR MEDICARE GRP CJ5857
TX
Enumeration date
03/18/2006
Last updated
07/23/2024
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