Provider Demographics
NPI:1437173168
Name:ALLENCHERRIL, PAUL JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:JOSEPH
Last Name:ALLENCHERRIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15035 EAST FWY
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-4135
Mailing Address - Country:US
Mailing Address - Phone:281-452-3983
Mailing Address - Fax:281-695-1000
Practice Address - Street 1:14700 FM 2100 RD
Practice Address - Street 2:SUITE 2
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-9161
Practice Address - Country:US
Practice Address - Phone:281-452-3983
Practice Address - Fax:281-685-4180
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL9598207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F4072Medicare PIN
TXH13481Medicare UPIN