Provider Demographics
NPI:1437386059
Name:ALEX, ROSELIZY KAINIKARA
Entity Type:Individual
Prefix:MRS
First Name:ROSELIZY
Middle Name:KAINIKARA
Last Name:ALEX
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4317 CREEKBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-9243
Mailing Address - Country:US
Mailing Address - Phone:972-475-1284
Mailing Address - Fax:469-366-8175
Practice Address - Street 1:4317 CREEKBLUFF DR
Practice Address - Street 2:
Practice Address - City:ROWLETT
Practice Address - State:TX
Practice Address - Zip Code:75088-9243
Practice Address - Country:US
Practice Address - Phone:972-475-1284
Practice Address - Fax:469-366-8175
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator