Active NPI
Deidra Allen LLC
- Primary Care Clinic/Center
- Houston, TX
National Provider Identifier
1417213265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- M1464
- Legal business name
- DEIDRA ALLEN LLC
- Practice address
- 9898 Bissonnet St
Suite 410
Houston, TX 77036-8270 - Phone
- (832) 767-2357
- Fax
- (832) 623-7561
- NPI assigned
- Apr 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deidra Deshun Allen, MD
- Title
- Self
- Phone
- (832) 767-2357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | M1464 | TX | Primary |
Addresses
Primary practice location
9898 Bissonnet St
Suite 410
Houston, TX 77036-8270
Mailing address
9898 Bissonnet St
Suite 410
Houston, TX 77036-8270
Phone (832) 767-2357
National Provider Directory
National Provider DirectoryLocations
9898 Bissonnet St
Ste 410
Houston, TX 77036
Phone (832) 203-5805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1417213265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9898 BISSONNET ST",
"address_2": "SUITE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368270",
"telephone_number": "832-767-2357",
"fax_number": "832-623-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9898 BISSONNET ST",
"address_2": "SUITE 410",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770368270",
"telephone_number": "832-767-2357",
"fax_number": "832-623-7561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEIDRA ALLEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-05",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "DEIDRA",
"authorized_official_middle_name": "DESHUN",
"authorized_official_title_or_position": "SELF",
"authorized_official_telephone_number": "832-767-2357",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "TX",
"license": "M1464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.