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Individual

BRYAN E ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, BSN-FNP

Contact information

Practice address
4304 ANDREWS HWY, MIDLAND, TX 79703-4824
(432) 520-3020
(432) 699-1981
Mailing address
4304 ANDREWS HWY, MIDLAND, TX 79703-4824
(432) 520-3020
(432) 699-1981

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
624626
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
325374201
TX
01
8763NF
BCBS
TX
01
P01290248
MEDICARE RR
TX
Enumeration date
08/09/2005
Last updated
04/04/2020
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