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MR. GARRY EDWARD ALLEN FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1861772634

Individual Registrant:
MR. GARRY EDWARD ALLEN FNP
Gender: M
Sole Proprietor

Location and contact information for practice:
433 EDGEWOOD DR  TEXARKANA, AR 71854-0249 US
Tel: 870-653-5035  Fax: --

Contact information for business:
433 EDGEWOOD DRIVE  TEXARKANA, AR 71854-0249 US
Tel: 870-653-5035  Fax: --

Registration Information:
NPI: 1861772634
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
TX1692

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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