Active NPI
Allele Healthcare Inc
- Family Medicine Physician
- Lewisville, TX
National Provider Identifier
1578348397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALLELE HEALTHCARE INC
- Practice address
- 201 Florence Dr
Lewisville, TX 75056-5880 - Phone
- (214) 909-9772
- Fax
- (972) 767-4826
- NPI assigned
- Aug 29, 2023
- 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
- Mr. Tyler Stout
- Title
- Manager
- Phone
- (337) 315-7927
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | |||
| Internal Medicine Physician | 207R00000X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Plastic Surgery Physician | 208200000X | |||
| Vascular & Interventional Radiology Physician | 2085R0204X | |||
| Trauma Surgery Physician | 2086S0127X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Pain Medicine Physician | 208VP0000X | |||
| Interventional Pain Medicine Physician | 208VP0014X |
Addresses
Primary practice location
201 Florence Dr
Lewisville, TX 75056-5880
Mailing address
5049 Edwards Ranch Rd FL 4
Fort Worth, TX 76109-4213
Phone (214) 909-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
8 Medical Pkwy
Ste 304
Dallas, TX 75234
Phone (214) 909-9772
5752 Grandscape Blvd
Ste 225
The Colony, TX 75056
Phone (214) 909-9772
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Farmers Branch, TX
- NPI 1255472999
-
- Surgery of the Hand (Surgery) Physician
- Tulsa, OK
- NPI 1235321472
-
- Medical Physician Assistant
- Sugar Land, TX
- NPI 1902129372
-
- Family Nurse Practitioner
- Irving, TX
- NPI 1487437620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776124800000",
"number": "1578348397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5049 EDWARDS RANCH RD FL 4",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761094213",
"telephone_number": "214-909-9772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 FLORENCE DR",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750565880",
"telephone_number": "214-909-9772",
"fax_number": "972-767-4826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLELE HEALTHCARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-29",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A",
"authorized_official_last_name": "STOUT",
"authorized_official_first_name": "TYLER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "337-315-7927",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.