Individual
JAKOB RICHARD ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
3724 EXECUTIVE CENTER DR, AUSTIN, TX 78731-1646
(512) 324-9270
Mailing address
3724 EXECUTIVE CENTER DR, AUSTIN, TX 78731-1646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
TX
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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