Individual
MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2502 W OHIO AVE, MIDLAND, TX 79701-5848
(432) 683-3788
(432) 683-6470
Mailing address
2502 W OHIO AVE, MIDLAND, TX 79701-5848
(432) 683-3788
(432) 683-6470
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
70
TX
224P00000X
Prosthetist
Primary
70
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70
TEXAS BOARD OF ORTHOTICS AND PROSTHETICS
TX
Enumeration date
05/09/2012
Last updated
05/09/2012
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