Provider Demographics
NPI:1962581231
Name:DEUTSCH, ALLEN (MD)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:
Last Name:DEUTSCH
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 1:6708 FERRIS ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3919
Mailing Address - Country:US
Mailing Address - Phone:713-263-3887
Mailing Address - Fax:713-814-4911
Practice Address - Street 1:6708 FERRIS ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3919
Practice Address - Country:US
Practice Address - Phone:713-263-3887
Practice Address - Fax:713-814-4911
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2020-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9764207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040404804Medicaid
TX040404801Medicaid
TX040404802Medicaid
TXTXB111750Medicare PIN
TXTXB111751Medicare PIN
TX8242K3Medicare PIN
TX8011N6Medicare PIN