Provider Demographics
NPI:1255681185
Name:ZWIERKO, ALEXANDER THOMAS
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:THOMAS
Last Name:ZWIERKO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3531 YASMINE RANCH DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-6907
Mailing Address - Country:US
Mailing Address - Phone:832-437-6526
Mailing Address - Fax:
Practice Address - Street 1:411 S MASON RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2435
Practice Address - Country:US
Practice Address - Phone:281-579-0910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX52290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist