Individual
DR. JEFFREY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 E MELTON ST, LONGVIEW, TX 75602-1808
(903) 241-5208
Mailing address
700 E MELTON ST, LONGVIEW, TX 75602-1808
(903) 241-5208
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
72269
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316116924
—
TX
05
—
171M00000X
—
TX
Enumeration date
02/27/2008
Last updated
08/23/2024
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