Provider Demographics
NPI:1447756598
Name:ALEXANDER, SARA (CSFA)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31207 RIBBONWOOD PARK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-3071
Mailing Address - Country:US
Mailing Address - Phone:281-795-6650
Mailing Address - Fax:
Practice Address - Street 1:17400 ST LUKES WAY
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77384-8036
Practice Address - Country:US
Practice Address - Phone:936-266-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX177951208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery