Provider Demographics
NPI:1144585639
Name:ROBY, ALEXANDER C (DO)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:C
Last Name:ROBY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:ROBY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:140 W 151ST ST S STE 202
Practice Address - Street 2:
Practice Address - City:GLENPOOL
Practice Address - State:OK
Practice Address - Zip Code:74033-4530
Practice Address - Country:US
Practice Address - Phone:918-321-7400
Practice Address - Fax:918-321-7415
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-10
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5271207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine