Individual
KAHTONNA CHARVET ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., D.O.
Contact information
Practice address
3851 RODGER BROOKE DRIVE, BOTSFORD GENERAL HOSPITAL DEPT OF MEDICAL EDUCATION, FORT SAM HOUSTON, TX 78234
(210) 916-5554
Mailing address
6502 DANCING CT, SAN ANTONIO, TX 78244-1549
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
L1593644
TX
Other
Enumeration date
08/26/2009
Last updated
06/07/2013
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