Provider Demographics
NPI:1346929247
Name:VIRAY-EDWARDS, ALEXIS NERIAH (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:NERIAH
Last Name:VIRAY-EDWARDS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N WASHINGTON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75246-1633
Mailing Address - Country:US
Mailing Address - Phone:214-823-6503
Mailing Address - Fax:
Practice Address - Street 1:712 N WASHINGTON AVE STE 300
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75246-1633
Practice Address - Country:US
Practice Address - Phone:214-823-6503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF04230207207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty