Organization
KEVIN L ALLISON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN L ALLISON M.D. (PRESIDENT/CEO)
(806) 793-7000
Entity
Organization
Contact information
Practice address
3812 24TH ST, LUBBOCK, TX 79410-1814
(806) 793-7000
(806) 793-9048
Mailing address
3812 24TH ST, LUBBOCK, TX 79410-1814
(806) 793-7000
(806) 793-9048
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
H7685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210639501
—
TX
Enumeration date
08/09/2006
Last updated
06/02/2010
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