Organization Active NPI

Lisa E Allen DO PLLC

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1689151805
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LISA E ALLEN DO PLLC
Practice address
3131 Troup Hwy
Tyler, TX 75701-8350
Phone
(903) 510-7000
Fax
(903) 510-7005
NPI assigned
Jul 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa E Allen, DO
Title
Owner/Physician
Phone
(903) 510-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3131 Troup Hwy
Tyler, TX 75701-8350

Mailing address

P O Box 132913
Tyler, TX 75713
Phone (903) 510-7000

Other identifiers 1

IdentifierTypeStateIssuer
M9794OtherTXTEXAS MEDICAL BOARD NUMBER FOR OWNER OF THE BUSINESS

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1689151805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 132913",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75713",
            "telephone_number": "903-510-7000",
            "fax_number": "903-510-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TROUP HWY",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018350",
            "telephone_number": "903-510-7000",
            "fax_number": "903-510-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA E ALLEN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-20",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "903-510-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD NUMBER FOR OWNER OF THE BUSINESS",
            "identifier": "M9794",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.