Provider Demographics
NPI:1245428119
Name:ALLEN, RAYMOND F
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:F
Last Name:ALLEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20506
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0506
Mailing Address - Country:US
Mailing Address - Phone:713-524-2813
Mailing Address - Fax:713-795-4002
Practice Address - Street 1:1015 SWANSON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-5011
Practice Address - Country:US
Practice Address - Phone:713-524-2813
Practice Address - Fax:713-795-4002
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX167222Z00000X
224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist