1497027080 NPI number — MRS. FRANCESA ALEXANDRA ALLISON RDH

Table of content: MRS. FRANCESA ALEXANDRA ALLISON RDH (NPI 1497027080)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497027080 NPI number — MRS. FRANCESA ALEXANDRA ALLISON RDH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALLISON
Provider First Name:
FRANCESA
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDH
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN
Provider Other First Name:
FRANCESA
Provider Other Middle Name:
ALEXANDRA
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497027080
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/30/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PSC 10
Provider Second Line Business Mailing Address:
BOX 1208
Provider Business Mailing Address City Name:
APO
Provider Business Mailing Address State Name:
AE
Provider Business Mailing Address Postal Code:
09142-9998
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-693-6043
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CMR 488, PULASKI BARRICKS BLDG 2921
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09088
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
063134064443
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/30/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 124Q00000X , with the licence number:  17231 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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