Individual
KAMARA DIANNE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
855 MONTGOMERY ST, DEPT OF OB/GYN, FORT WORTH, TX 76107-2553
(817) 735-2238
Mailing address
PO BOX 99335, FORT WORTH, TX 76199-0335
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
2004035000
MO
363LW0102X
Women's Health Nurse Practitioner
Primary
2572
TX
363LW0102X
Women's Health Nurse Practitioner
45840
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328745001
—
TX
01
—
8616NF
BCBS
TX
Enumeration date
07/06/2006
Last updated
05/29/2014
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