Provider Demographics
NPI:1093346348
Name:ALLISON, JAMES MARRON (PTA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:MARRON
Last Name:ALLISON
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7518 FARM ROAD 1567 W
Mailing Address - Street 2:
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-8543
Mailing Address - Country:US
Mailing Address - Phone:903-366-6685
Mailing Address - Fax:
Practice Address - Street 1:210 PIPELINE RD
Practice Address - Street 2:
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-2131
Practice Address - Country:US
Practice Address - Phone:903-885-3589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-27
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2152481225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant