1285896613 NPI number — MS. CYNTHIA DIANE ALEXANDER OT,MS,CHT,CLT

Table of content: MS. CYNTHIA DIANE ALEXANDER OT,MS,CHT,CLT (NPI 1285896613)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285896613 NPI number — MS. CYNTHIA DIANE ALEXANDER OT,MS,CHT,CLT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALEXANDER
Provider First Name:
CYNTHIA
Provider Middle Name:
DIANE
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
OT,MS,CHT,CLT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALEXANDER-GARRETT
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
DIANE
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
OTR,MS,CHT,CLT
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1285896613
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/30/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8711 VILLAGE DR
Provider Second Line Business Mailing Address:
SUITE 109
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78217-5418
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-297-2726
Provider Business Mailing Address Fax Number:
210-297-0215

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8550 DATAPOINT DR
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229-3270
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-615-5350
Provider Business Practice Location Address Fax Number:
210-615-5360
Provider Enumeration Date:
06/26/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  100117 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100117 . This is a "LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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