Basic Information
| Provider Information | |||||||||
| NPI: | 1346568052 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALLEYNE | ||||||||
| FirstName: | TRICIA | ||||||||
| MiddleName: | SHINELLE | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 510 LINBERG AVE | ||||||||
| Address2: | |||||||||
| City: | MC ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785010000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566839399 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 510 LINBERG AVE | ||||||||
| Address2: | |||||||||
| City: | MC ALLEN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 785012924 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9566839399 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2010 | ||||||||
| LastUpdateDate: | 11/06/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | TRN14744 | FL | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0203X | Q9566 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine |
No ID Information.