Provider Demographics
NPI:1396927893
Name:ALLAHAR, JEFFREY (CRT/RCP)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:ALLAHAR
Suffix:
Gender:M
Credentials:CRT/RCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9299 KIRBY DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2520
Mailing Address - Country:US
Mailing Address - Phone:713-578-2459
Mailing Address - Fax:713-383-2113
Practice Address - Street 1:9299 KIRBY DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2520
Practice Address - Country:US
Practice Address - Phone:713-578-2459
Practice Address - Fax:713-383-2113
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX658562278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0144743-01Medicaid
TX1273393-01Medicaid
TX1273393-03Medicaid
TX1273393-04Medicaid