Organization
DR. THOMAS J ALLEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES ALLEN DDS (CEO)
(210) 224-6554
Entity
Organization
Contact information
Practice address
730 N MAIN AVE, #709, SAN ANTONIO, TX 78205-1152
(210) 224-6554
Mailing address
730 N MAIN AVE, #709, SAN ANTONIO, TX 78205-1152
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130632603
—
TX
Enumeration date
05/05/2014
Last updated
05/05/2014
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