Provider Demographics
NPI:1073532503
Name:ALEXANDER, STUART KALMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STUART
Middle Name:KALMAN
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:300 E JOHN CARPENTER FWY
Mailing Address - Street 2:SUITE 850
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-2727
Mailing Address - Country:US
Mailing Address - Phone:972-957-3000
Mailing Address - Fax:972-957-3005
Practice Address - Street 1:4438 W JEFFERSON BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75211-4623
Practice Address - Country:US
Practice Address - Phone:972-498-1925
Practice Address - Fax:972-498-1929
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG8663207Q00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX891155Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TXC12669Medicare UPIN