Basic Information
Provider Information
NPI: 1972571271
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLEN
FirstName: HELEN
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1122 NE 13TH ST
Address2: ORI236
City: OKLAHOMA CITY
State: OK
PostalCode: 731171039
CountryCode: US
TelephoneNumber: 4052711515
FaxNumber:  
Practice Location
Address1: 940 NE 13TH ST
Address2: 2B2416
City: OKLAHOMA CITY
State: OK
PostalCode: 731045008
CountryCode: US
TelephoneNumber: 4052715211
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/10/2006
LastUpdateDate: 07/03/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0203X21209OKY Allopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine

No ID Information.


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