Individual provider · NPI-1

Leon Shawn Allen

Contractor · Dallas, TX

NPI number1922512987
StatusActive
Last updated in NPPESNov 28, 2017

Details

NPI
1922512987
Entity type
Individual (NPI-1)
Name
Leon Shawn Allen
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 28, 2017
Last updated
Nov 28, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes
385H00000X Respite Care––

Practice location

6060 N Central Expy Ste 500
Dallas, TX 75206-5209

Phone 214-622-1882

Mailing address

609 S Goliad St Unit 1524
Rockwall, TX 75087-4051

Phone 214-622-1882

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