Individual
THRESIA J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NP-C
Contact information
Practice address
1392 W US HIGHWAY 290, UNIT 2, ELGIN, TX 78621
(512) 285-3315
(512) 281-2872
Mailing address
1392 W US HIGHWAY 290, UNIT 2, ELGIN, TX 78621
(512) 285-3315
(512) 281-2872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
576947
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189029501
—
TX
05
—
189029502
—
TX
Enumeration date
08/14/2007
Last updated
10/24/2022
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