Individual
ALLEN L HUESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S 12TH ST, WACO, TX 76701-1810
(254) 297-7124
(254) 756-3133
Mailing address
PO BOX 890, WACO, TX 76703-0890
(254) 297-7124
(254) 756-3133
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G7236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125074805
—
TX
Enumeration date
09/08/2005
Last updated
03/01/2011
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