Paul, Ricky Allen
Paul, Ricky Allen is an individual health care provider with primary practice located at 8001 Youree Dr Ste 600 , Shreveport LA 71115-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Paul, Ricky Allen can be contacted via phone (318) 212-3890.Contact Information
Primary practice address
8001 Youree Dr Ste 600
Shreveport LA 71115-2345
Phone: (318) 212-3890
Fax: (318) 212-3888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | L6568 | Texas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD.023185 | Louisiana |
Profile Details
| NPI number | 1073699500 |
|---|---|
| LBN Legal business name | Paul, Ricky Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2006 |
| Last updated | Jun 9th, 2021 - about 4 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 | 1073699500 | NPPES |
| Texas | MEDICAID | 158685101 | |
| Texas | Other | 8F5691 | |
| Texas | Other | P00019679 |
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