Mark Allen, O.D. Valid NPI

Individual provider · Optometrist · Texarkana, TX

NPI

1245239904

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

05370TG (TX)

Sex

Male

Sole proprietor

No

Enumerated

2005-07-15

Last updated

2012-09-24