Provider Demographics
NPI:1154461267
Name:ALLEMAN, TONY (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:ALLEMAN
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 MISSION HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518-6163
Mailing Address - Country:US
Mailing Address - Phone:337-856-7636
Mailing Address - Fax:
Practice Address - Street 1:106 HERITAGE
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518-8046
Practice Address - Country:US
Practice Address - Phone:337-451-4263
Practice Address - Fax:337-451-4661
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA168032083P0011X
LA0168032083P0500X, 2083A0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction Medicine