Provider Demographics
NPI:1497757850
Name:ALEXANDER, LARRY P (MD)
Entity Type:Individual
Prefix:DR
First Name:LARRY
Middle Name:P
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2855 GRAMERCY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1756
Mailing Address - Country:US
Mailing Address - Phone:713-668-6828
Mailing Address - Fax:713-558-8785
Practice Address - Street 1:5125 FAIRMONT PKWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3727
Practice Address - Country:US
Practice Address - Phone:713-477-6929
Practice Address - Fax:281-598-6475
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2021-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF1335207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX128778106Medicaid
TX00SN03Medicare PIN
889682Medicare ID - Type Unspecified