Individual
TIMOTHY CRAIG ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 UNIVERSITY BLVD, CSB 509, GALVESTON, TX 77555-7407
(409) 772-2859
(409) 772-9045
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25714
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301507714
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G7971
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129406807
—
TX
Enumeration date
10/10/2005
Last updated
11/22/2024
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