Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | T0863 | TX |
NPI | 1265896898 |
---|---|
Provider Name | Alexander Jordan Metoxen |
First Address | Pearland, TX 77584-7298 |
Second Address | Houston, TX 77030-3498 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2016 |
Last Update Date | 24/01/2022 |