Individual
WILLIAM TAYLOR ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
(985) 230-1368
Mailing address
3737 KINGS HWY, JACKSON, MS 39216-3324
(601) 480-7170
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
330973
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
04/05/2019
Last updated
06/06/2023
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