Provider Demographics
NPI:1578678298
Name:PRICE, ALLAN ERNEST (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:ERNEST
Last Name:PRICE
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 1:130 HAYS STREET, SUITE D
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:TX
Mailing Address - Zip Code:78648
Mailing Address - Country:US
Mailing Address - Phone:830-875-3445
Mailing Address - Fax:830-875-3765
Practice Address - Street 1:130 HAYS STREET, SUITE D
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:TX
Practice Address - Zip Code:78648
Practice Address - Country:US
Practice Address - Phone:830-875-3445
Practice Address - Fax:830-875-3765
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD2567207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine