Provider Demographics
NPI:1972901809
Name:GELMAN, ALLYSON (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:
Last Name:GELMAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18652 MCKAY DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5716
Mailing Address - Country:US
Mailing Address - Phone:281-446-1014
Mailing Address - Fax:
Practice Address - Street 1:18652 MCKAY DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5716
Practice Address - Country:US
Practice Address - Phone:281-446-1014
Practice Address - Fax:281-446-0838
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09548363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical