Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 658396 | TX |
NPI | 1114136538 |
---|---|
Provider Name | Tosha Kay Bollier Alexander |
First Address | Midlothian, TX 76065-2361 |
Second Address | Fort Worth, TX 76104-2158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 31/01/2020 |