Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | DEA0009752 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | Q9107 | TX |
NPI | 1003047515 |
---|---|
Provider Name | Dr. Alexandriah Nicole Alas |
First Address | San Antonio, TX 78229-3901 |
Second Address | San Antonio, TX 78229-3931 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2009 |
Last Update Date | 11/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
361926401 | (05) | TX |
361926402 | CSHCN (01) | TX |
522555YK00 | (02) | TX |