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Individual

MR. GARRY EDWARD ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
433 EDGEWOOD DR, TEXARKANA, AR 71854-0249
(870) 653-5035
Mailing address
701 ARKANSAS BLVD, TEXARKANA, AR 71854-2105
(870) 772-5028

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1692
TX
363LF0000X
Family Nurse Practitioner
217347
AR

Other

Enumeration date
08/24/2011
Last updated
01/31/2022
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