Preston Allen

Individual provider Active NPI Licensed Vocational Nurse · Brenham, TX

NPI 1053955708 · NPPES record last updated Nov 5, 2019

Key facts

NPI
1053955708
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
324899 (TX)
Practice address
2017 Arable CT
Brenham, TX 77833-3293
Phone
(936) 662-4392
NPI assigned
Nov 5, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
324899TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 324899 TX Yes

Addresses

Primary practice location

2017 Arable CT
Brenham, TX 77833-3293

Mailing address

1155 Dairy Ashford Rd Ste 560
Houston, TX 77079-3035
Phone (713) 799-2200

Other providers in Brenham, TX

All providers in Brenham, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.