Provider Demographics
NPI:1538291380
Name:HARROFF, ALLYSON LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLYSON
Middle Name:LYNN
Last Name:HARROFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:2130 N.E.LOOP 410
Practice Address - Street 2:SUITE #100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4660
Practice Address - Country:US
Practice Address - Phone:210-656-7177
Practice Address - Fax:210-656-3687
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3251207RX0202X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AA841OtherBLUECROSS/BLUESHIELD TX.
TXP01547658OtherRAILROAD MEDICARE
TX185867201Medicaid
TX185867202Medicaid
TX185867202Medicaid
TXP00435767Medicare PIN
TX8J6007Medicare PIN