Allen V Havener MD

NPI 1578563987 - Radiology - 2085R0202X

NPI Details
NPI 1578563987
Gender Male
Enumeration Date 07/28/2005
Last Updated 04/08/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
5002 COWHORN CREEK RD
TEXARKANA TX, 75503-9766, US
Phone (903) 614-3000
Fax (903) 614-3525
Business Location
5002 COWHORN CREEK RD
TEXARKANA TX, 75503-9766, US
Phone (903) 614-3000
Fax (903) 614-3525
Toxanomy
Taxonomy Code 2085R0202X
License State Arkansas
License Number E3287
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According to our database, Allen V Havener MD NPI is 1578563987, taxonomy code is 2085R0202X and license number is E3287, license state is located at Arkansas. Allen V Havener MD physically located at 5002 Cowhorn Creek Rd, Texarkana TX, 75503-9766. NPI Number Allen V Havener MD has the Individual type.

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1578563987 NPI number is provided on an as is basis without warranty of any kind. 1578563987 is maintained by the National Plan & Provider Enumeration System. The contents of Allen V Havener MD are for informational purposes only.