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MR. GARRY EDWARD ALLEN FNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1861772634
Individual Registrant:MR. GARRY EDWARD ALLEN FNP
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
433 EDGEWOOD DR TEXARKANA, AR 71854-0249 US
Tel: 870-653-5035 Fax: --
Tel: 870-653-5035 Fax: --
Contact information for business:
701 ARKANSAS BLVD TEXARKANA, AR 71854-2105 US
Tel: 870-772-5028 Fax: --
Tel: 870-772-5028 Fax: --
Registration Information:
NPI: 1861772634
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | AR | 217347 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | TX | 1692 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
