Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | AP141295 | TX |
NPI | 1003474586 |
---|---|
Provider Name | Maggie Alexander |
First Address | Rosharon, TX 77583-2541 |
Second Address | Rosharon, TX 77583-2541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2019 |
Last Update Date | 30/05/2019 |