Provider Demographics
NPI:1942431598
Name:NAARDEN, ALLAN L (MD)
Entity type:Individual
Prefix:
First Name:ALLAN
Middle Name:L
Last Name:NAARDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7407 MALABAR LANE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230
Mailing Address - Country:US
Mailing Address - Phone:972-566-4718
Mailing Address - Fax:972-566-4715
Practice Address - Street 1:7777 FOREST LANE
Practice Address - Street 2:C-740
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230
Practice Address - Country:US
Practice Address - Phone:972-566-4718
Practice Address - Fax:972-566-4715
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXD58012084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25063Medicare UPIN