Provider Demographics
NPI:1609194117
Name:ROBERT M. ALEXANDER, M.D., A.P.M.C.
Entity Type:Organization
Organization Name:ROBERT M. ALEXANDER, M.D., A.P.M.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:MCCOY
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:985-868-7091
Mailing Address - Street 1:1020 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-4630
Mailing Address - Country:US
Mailing Address - Phone:985-868-7091
Mailing Address - Fax:985-868-3617
Practice Address - Street 1:1020 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-4630
Practice Address - Country:US
Practice Address - Phone:985-868-7091
Practice Address - Fax:985-868-3617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011888174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1162281Medicaid
LA50276OtherMEDICARE
LA1162281Medicaid