Provider Demographics
NPI:1700822004
Name:ALLMAN, JULIE RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:RAY
Last Name:ALLMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 S COULTER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1761
Mailing Address - Country:US
Mailing Address - Phone:806-359-4701
Mailing Address - Fax:806-353-0091
Practice Address - Street 1:1215 S COULTER ST STE 100
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1761
Practice Address - Country:US
Practice Address - Phone:806-359-4701
Practice Address - Fax:806-353-0091
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3446207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156877603Medicaid
TX156877602Medicaid
TXTXB126669OtherMEDICARE PTAN
TX8S3526OtherBCBS
TX8S3321OtherBCBS
TX156877602Medicaid
TX8J8934Medicare PIN
TXP00139595Medicare PIN
TXH59563Medicare UPIN