Provider Demographics
NPI:1053369348
Name:ALLEN, PATRICK LEE (MD)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:LEE
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7560 GLENVIEW DR.
Mailing Address - Street 2:STE. 106
Mailing Address - City:RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-8308
Mailing Address - Country:US
Mailing Address - Phone:817-590-8700
Mailing Address - Fax:817-590-8200
Practice Address - Street 1:7560 GLENVIEW DR.
Practice Address - Street 2:STE. 106
Practice Address - City:RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-8308
Practice Address - Country:US
Practice Address - Phone:817-590-8700
Practice Address - Fax:817-590-8200
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK7498207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX029650101Medicaid
00137JMedicare ID - Type Unspecified
TXG89843Medicare UPIN