Organization Active NPI

Deidra Allen LLC

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1417213265
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M1464 Issued in TX
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

Updated by the provider on Apr 10, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.