Provider Demographics
NPI:1033328067
Name:ALLEN, JASON WELLS (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:WELLS
Last Name:ALLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 35629
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-0629
Mailing Address - Country:US
Mailing Address - Phone:214-424-2200
Mailing Address - Fax:214-231-2159
Practice Address - Street 1:1325 PENNSYLVANIA AVE STE 400
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-2128
Practice Address - Country:US
Practice Address - Phone:817-380-8800
Practice Address - Fax:817-207-4191
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2025-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN2369208C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX215660601Medicaid
TXP00867270OtherRAILROAD MEDICARE