Larry Steve Allen, FNP
Nurse Practitioner, Family in Texarkana, TX. Individual provider (NPI-1).
NPI number1669714663
StatusActive
Last updated in NPPESMar 18, 2013
Details
- NPI
- 1669714663
- Entity type
- Individual (NPI-1)
- Name
- Larry Steve Allen
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2013
- Last updated
- Mar 18, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | Pended | TX | Yes |
Practice location
2101 Galleria Oaks DrTexarkana, TX 75503-4625
Phone 903-791-9120 · Fax 903-791-9132
Mailing address
2101 Galleria Oaks DrTexarkana, TX 75503-4625
Phone 903-791-9120 · Fax 903-791-9132
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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