Provider Demographics
NPI:1558442558
Name:ALEXANDER, BILL DON (MD)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:DON
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE PASS
Mailing Address - State:TX
Mailing Address - Zip Code:78852-5291
Mailing Address - Country:US
Mailing Address - Phone:830-773-8474
Mailing Address - Fax:830-773-5683
Practice Address - Street 1:137 ZAMORA MEDICAL CIRCLE
Practice Address - Street 2:
Practice Address - City:EAGLE PASS
Practice Address - State:TX
Practice Address - Zip Code:78852
Practice Address - Country:US
Practice Address - Phone:830-773-8474
Practice Address - Fax:830-773-5683
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD4009174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXD4009OtherMEDICAL LICENSE
TXD4009OtherMEDICAL LICENSE