Provider Demographics
NPI:1386625689
Name:ROYAL-MCALEXANDER, CHRISTIANE MICHELLE (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:MICHELLE
Last Name:ROYAL-MCALEXANDER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHRISTIANE
Other - Middle Name:MICHELLE
Other - Last Name:ROYAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3811 S COOPER ST
Mailing Address - Street 2:SUITE 2004
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-4120
Mailing Address - Country:US
Mailing Address - Phone:817-468-4461
Mailing Address - Fax:817-468-4742
Practice Address - Street 1:3811 S COOPER ST
Practice Address - Street 2:SUITE 2004
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-4120
Practice Address - Country:US
Practice Address - Phone:817-468-4461
Practice Address - Fax:817-468-4742
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6415TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV06906Medicare UPIN
TX8G0661Medicare ID - Type Unspecified