Provider Demographics
NPI:1598911380
Name:ALEXANDER, REGINALD ANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:REGINALD
Middle Name:ANDER
Last Name:ALEXANDER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1414 S GRAND AVE
Mailing Address - Street 2:STE 123
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90015-3071
Mailing Address - Country:US
Mailing Address - Phone:213-455-8448
Mailing Address - Fax:213-745-8922
Practice Address - Street 1:4301 N MACARTHUR BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-6497
Practice Address - Country:US
Practice Address - Phone:972-255-5588
Practice Address - Fax:972-573-3807
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2018-07-05
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Provider Licenses
StateLicense IDTaxonomies
TXP7237207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine