Provider Demographics
NPI:1275516510
Name:ALEXANDER, STEVEN DONALD (PA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:DONALD
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:908 S. EVANS ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-6034
Mailing Address - Country:US
Mailing Address - Phone:830-278-5604
Mailing Address - Fax:830-278-1836
Practice Address - Street 1:700 S FRIO
Practice Address - Street 2:
Practice Address - City:CAMP WOOD
Practice Address - State:TX
Practice Address - Zip Code:78833-0455
Practice Address - Country:US
Practice Address - Phone:830-597-6424
Practice Address - Fax:830-597-6427
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA00648363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
S75496Medicare UPIN
TX82N463Medicare PIN