Allen, Gwendolyn J
Allen, Gwendolyn J is an individual health care provider with primary practice located at 1604 14Th St , Brownwood TX 76801-5314. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Allen, Gwendolyn J can be contacted via phone (325) 646-5296.Contact Information
Primary practice address
1604 14Th St
Brownwood TX 76801-5314
Phone: (325) 646-5296
Fax: (325) 646-5820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G4784 | Texas |
Profile Details
| NPI number | 1285694984 |
|---|---|
| LBN Legal business name | Allen, Gwendolyn J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285694984 | NPPES |
| Texas | MEDICAID | 127751908 | |
| Texas | Other | G4784 | |
| Texas | Other | 252944274 | |
| Texas | Other | 11368850 | |
| Texas | Other | H08CG76301 | |
| Texas | Other | D0060429 | |
| Texas | Other | H00061TE01 |
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