Organization
ALLEN EAR, NOSE, THROAT, & ALLERGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRETCHEN ANN CHAMPION (OWNER)
(972) 747-4646
Entity
Organization
Contact information
Practice address
1105 CENTRAL EXPY N STE 210, ALLEN, TX 75013-6102
(972) 747-4646
Mailing address
1105 CENTRAL EXPY N STE 210, ALLEN, TX 75013-6102
(972) 747-4646
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
M0684
TX
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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