Provider Demographics
NPI:1346568052
Name:ALLEYNE, TRICIA SHINELLE (MD)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:SHINELLE
Last Name:ALLEYNE
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 1:510 LINBERG AVE
Mailing Address - Street 2:
Mailing Address - City:MC ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-0000
Mailing Address - Country:US
Mailing Address - Phone:956-683-9399
Mailing Address - Fax:
Practice Address - Street 1:510 LINBERG AVE
Practice Address - Street 2:
Practice Address - City:MC ALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-2924
Practice Address - Country:US
Practice Address - Phone:956-683-9399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRN14744208000000X
TXQ95662080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics