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Individual

DR. JERRY ALVIN ALLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13330 NOEL RD, UNIT 338, DALLAS, TX 75240-5055
(916) 897-4987
Mailing address
13330 NOEL RD, UNIT 338, DALLAS, TX 75240-5055
(916) 897-4987

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A103638
CA
207P00000X
Emergency Medicine Physician
Primary
P7380
TX
207Q00000X
Family Medicine Physician
13157
HI

Other

Enumeration date
05/03/2006
Last updated
02/05/2014
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