Individual
MR. ALLAN JOSHUA AVELLANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11350 US HIGHWAY 380 STE 100, CROSSROADS, TX 76227-8319
(940) 228-0663
Mailing address
1425 W PETERS COLONY RD, CARROLLTON, TX 75007-2774
(972) 672-8224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15145
TX
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
10/20/2021
Last updated
10/28/2021
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