Provider Demographics
NPI:1174726285
Name:ALEXANDER, AUDREY D
Entity type:Individual
Prefix:MRS
First Name:AUDREY
Middle Name:D
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6524 CANYON CREST DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4694
Mailing Address - Country:US
Mailing Address - Phone:469-952-3488
Mailing Address - Fax:
Practice Address - Street 1:6524 CANYON CREST DR
Practice Address - Street 2:
Practice Address - City:MC KINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4694
Practice Address - Country:US
Practice Address - Phone:469-952-3488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider