Provider Demographics
NPI:1578061859
Name:ALEXANDER, CHRISTINE (MPAS, PA-C)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 RAINTREE CIRCLE, CENTER 2, STE. 250
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-4962
Mailing Address - Country:US
Mailing Address - Phone:972-649-6644
Mailing Address - Fax:972-649-6908
Practice Address - Street 1:1101 RAINTREE CIRCLE, CENTER 2, STE. 250
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-4962
Practice Address - Country:US
Practice Address - Phone:972-649-6644
Practice Address - Fax:972-649-6908
Is Sole Proprietor?:No
Enumeration Date:2018-01-31
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA11764363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant