Individual
IRINA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5801 VIRGINIA PKWY STE 102, MCKINNEY, TX 75071-5410
(972) 548-0333
Mailing address
4112 WAVERTREE RD, FRISCO, TX 75036-4249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12866
TX
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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