Individual
DANNY RAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCNP
Contact information
Practice address
1301 CLINIC DR, TYLER, TX 75701-2120
(903) 574-0488
(903) 595-3788
Mailing address
1301 CLINIC DR, TYLER, TX 75701-2120
(903) 574-0488
(903) 595-3788
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25017
TX
1835N0905X
Nuclear Pharmacist
25017
TX
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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