Provider Demographics
NPI:1386226082
Name:POFFENBARGER, ALEXIS MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:MARIE
Last Name:POFFENBARGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 ST. JOSEPH PARKWAY
Mailing Address - Street 2:SKS1106A
Mailing Address - City:HOUSTO
Mailing Address - State:TX
Mailing Address - Zip Code:77002
Mailing Address - Country:US
Mailing Address - Phone:713-756-8374
Mailing Address - Fax:713-657-7191
Practice Address - Street 1:1401 ST. JOSEPH PARKWAY
Practice Address - Street 2:SKS1106A
Practice Address - City:HOUSTO
Practice Address - State:TX
Practice Address - Zip Code:77002
Practice Address - Country:US
Practice Address - Phone:713-756-8374
Practice Address - Fax:713-657-7191
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program