Provider Demographics
NPI:1366856007
Name:BRUMFIELD, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:BRUMFIELD
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 1:670 W ARAPAHO RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-4200
Mailing Address - Country:US
Mailing Address - Phone:972-243-8500
Mailing Address - Fax:
Practice Address - Street 1:670 W ARAPAHO RD
Practice Address - Street 2:SUITE 10
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-4200
Practice Address - Country:US
Practice Address - Phone:972-243-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist