Provider Demographics
NPI:1366459000
Name:ALEXANDER, ROY LEE (MED)
Entity Type:Individual
Prefix:MR
First Name:ROY
Middle Name:LEE
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2232 INDIANA AVE
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2139
Mailing Address - Country:US
Mailing Address - Phone:806-793-6160
Mailing Address - Fax:806-799-0825
Practice Address - Street 1:2232 INDIANA AVE
Practice Address - Street 2:SUITE ONE
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-2139
Practice Address - Country:US
Practice Address - Phone:806-793-6160
Practice Address - Fax:806-799-0825
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist