Provider Demographics
NPI:1033256821
Name:READINGER, ALLISON BECKWORTH (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:BECKWORTH
Last Name:READINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 8TH AVE STE 326
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-2602
Mailing Address - Country:US
Mailing Address - Phone:817-885-8222
Mailing Address - Fax:817-885-8663
Practice Address - Street 1:800 8TH AVE STE 326
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2602
Practice Address - Country:US
Practice Address - Phone:817-885-8222
Practice Address - Fax:817-885-8663
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4467207N00000X, 207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8J3741OtherBLUE CROSS BLUE SHIELD OF TEXAS
TX8J3741OtherBLUE CROSS BLUE SHIELD OF TEXAS