Individual
DR. KYLE LAMONT ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10815 RANCH ROAD 2222 BLDG 3B, AUSTIN, TX 78730-1159
(512) 614-3300
(512) 372-1665
Mailing address
10815 RANCH ROAD 2222 BLDG 3B, AUSTIN, TX 78730-1159
(512) 614-3300
(512) 372-1665
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
5101024167
MI
208D00000X
General Practice Physician
5101025191
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
743010975
CENTER FOR HEALING AND REGENERATIVE MEDICINE
TX
Enumeration date
06/15/2018
Last updated
06/29/2023
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