Provider Demographics
NPI:1275827222
Name:ALLEN, ALEISHA CHRISTINA (DPM)
Entity Type:Individual
Prefix:
First Name:ALEISHA
Middle Name:CHRISTINA
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 BUSINESS CENTER DR
Mailing Address - Street 2:STE 510
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2737
Mailing Address - Country:US
Mailing Address - Phone:713-467-8886
Mailing Address - Fax:713-467-0135
Practice Address - Street 1:1140 BUSINESS CENTER DR
Practice Address - Street 2:STE 510
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2737
Practice Address - Country:US
Practice Address - Phone:713-467-8886
Practice Address - Fax:713-467-0135
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2059213ES0103X
FLPR220213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2925815OtherCIGNA
TX8EG642OtherBCBSTX
TX8EG642OtherBCBSTX