Provider Demographics
NPI:1073997342
Name:MCCLERKIN, ALEXIA (DC, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIA
Middle Name:
Last Name:MCCLERKIN
Suffix:
Gender:F
Credentials:DC, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2636 S LOOP W STE 105
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2402
Mailing Address - Country:US
Mailing Address - Phone:832-844-1754
Mailing Address - Fax:346-308-9994
Practice Address - Street 1:2636 S LOOP W STE 105
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2402
Practice Address - Country:US
Practice Address - Phone:832-844-1754
Practice Address - Fax:346-308-9994
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-16
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12946111NS0005X, 111N00000X
MI12946111NS0005X
TX965749163W00000X
TX1099962363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX437316Medicare PIN