Provider Demographics
NPI:1740308923
Name:ALLAMON, PATRICIA ANN (MD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:ALLAMON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 E BURBERRY CIR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77384-5066
Mailing Address - Country:US
Mailing Address - Phone:832-536-7662
Mailing Address - Fax:832-281-9940
Practice Address - Street 1:66 E BURBERRY CIR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77384-5066
Practice Address - Country:US
Practice Address - Phone:832-536-7662
Practice Address - Fax:832-281-9940
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2243207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187213702Medicaid
TX8DC490OtherBLUE CROSS
TXTXB146530Medicare PIN