Individual
MARK DWAINE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1900 PINE ST, ABILENE, TX 79601-2432
(325) 670-4220
(325) 670-4040
Mailing address
PO BOX 1198, ABILENE, TX 79604-1198
(325) 670-4372
(325) 670-4040
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
868740
TX
Other
Enumeration date
08/29/2014
Last updated
12/11/2014
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