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Organization

DEIDRA ALLEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEIDRA DESHUN ALLEN MD (SELF)
(832) 767-2357
Entity
Organization

Contact information

Practice address
9898 BISSONNET ST, SUITE 410, HOUSTON, TX 77036-8270
(832) 767-2357
(832) 623-7561
Mailing address
9898 BISSONNET ST, SUITE 410, HOUSTON, TX 77036-8270
(832) 767-2357
(832) 623-7561

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M1464
TX

Other

Enumeration date
04/05/2012
Last updated
04/10/2012
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