Jakob Richard Allen, MS
Specialist in Austin, TX. Individual provider (NPI-1).
NPI number1679110233
StatusActive
Last updated in NPPESDec 3, 2019
Details
- NPI
- 1679110233
- Entity type
- Individual (NPI-1)
- Name
- Jakob Richard Allen
- Credential
- MS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2019
- Last updated
- Dec 3, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | TX | Yes |
Practice location
3724 Executive Center DrAustin, TX 78731-1646
Phone 512-324-9270
Mailing address
3724 Executive Center DrAustin, TX 78731-1646
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