Provider Demographics
NPI:1275619496
Name:ALEXANDER, MAUREEN M (MD)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:M
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4207 JAMES CASEY ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745
Mailing Address - Country:US
Mailing Address - Phone:512-443-2046
Mailing Address - Fax:512-443-0300
Practice Address - Street 1:4207 JAMES CASEY ST
Practice Address - Street 2:SUITE 303
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745
Practice Address - Country:US
Practice Address - Phone:512-443-2046
Practice Address - Fax:512-443-0300
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2009-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF1336207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110079402Medicaid
TX2312688OtherBCBS
TXC12688Medicare UPIN
TX110079402Medicaid