1497897979 NPI number — DR. STEVEN LAWRENCE ALEXANDER DDS

Table of content: DR. STEVEN LAWRENCE ALEXANDER DDS (NPI 1497897979)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497897979 NPI number — DR. STEVEN LAWRENCE ALEXANDER DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALEXANDER
Provider First Name:
STEVEN
Provider Middle Name:
LAWRENCE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497897979
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
902 FROSTWOOD DRIVE
Provider Second Line Business Mailing Address:
STE 101
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-467-9566
Provider Business Mailing Address Fax Number:
239-389-4999

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
902 FROSTWOOD DRIVE
Provider Second Line Business Practice Location Address:
STE 101
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-467-9566
Provider Business Practice Location Address Fax Number:
239-389-4999
Provider Enumeration Date:
02/13/2007

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: 1223G0001X , with the licence number:  DN14248 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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