Provider Demographics
NPI:1194819763
Name:ALEXANDER, DREW W (MD)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:W
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12800 HILLCREST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1524
Mailing Address - Country:US
Mailing Address - Phone:972-239-9252
Mailing Address - Fax:972-404-9609
Practice Address - Street 1:12800 HILLCREST
Practice Address - Street 2:SUITE 216
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1524
Practice Address - Country:US
Practice Address - Phone:972-239-9252
Practice Address - Fax:972-404-9609
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9508207QA0000X, 2080A0000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Not Answered2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX886541OtherBLUE CROSS BLUE SHIELD
TXE79470Medicare UPIN