Individual
COY LANE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3055 NE LOOP 286, PARIS, TX 75460-3433
(903) 739-2116
Mailing address
3265 FARM ROAD 3281, DETROIT, TX 75436-3720
(903) 491-6575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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