Provider Demographics
NPI:1467400713
Name:ALLEN, F.SCOTT (OTR)
Entity Type:Individual
Prefix:
First Name:F.SCOTT
Middle Name:
Last Name:ALLEN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11707 S SAM HOUSTON PKWY W
Mailing Address - Street 2:STE. D
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77031-2344
Mailing Address - Country:US
Mailing Address - Phone:713-623-2273
Mailing Address - Fax:713-961-3087
Practice Address - Street 1:11707 S SAM HOUSTON PKWY W
Practice Address - Street 2:STE. D
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77031-2344
Practice Address - Country:US
Practice Address - Phone:713-623-2273
Practice Address - Fax:713-961-3087
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101757225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101757OtherSTATE LICENSE NUMBER
TX082880801Medicaid