Provider Demographics
NPI:1427484534
Name:ALLEN, DUSTIN GREG (PA-C)
Entity type:Individual
Prefix:
First Name:DUSTIN
Middle Name:GREG
Last Name:ALLEN
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2074 ANTILLEY RD
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-5209
Mailing Address - Country:US
Mailing Address - Phone:325-698-3865
Mailing Address - Fax:325-793-1295
Practice Address - Street 1:2074 ANTILLEY RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-5209
Practice Address - Country:US
Practice Address - Phone:325-698-3865
Practice Address - Fax:257-931-2953
Is Sole Proprietor?:No
Enumeration Date:2013-09-20
Last Update Date:2022-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA09357363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant