Provider Demographics
NPI:1659665941
Name:ALEKSANDRA LAWERA M.D.,P.A
Entity Type:Organization
Organization Name:ALEKSANDRA LAWERA M.D.,P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:DASSY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-324-5282
Mailing Address - Street 1:925 S MASON RD
Mailing Address - Street 2:#105
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3874
Mailing Address - Country:US
Mailing Address - Phone:832-324-8252
Mailing Address - Fax:832-514-7041
Practice Address - Street 1:705 S FRY RD
Practice Address - Street 2:#300
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-2251
Practice Address - Country:US
Practice Address - Phone:281-599-0300
Practice Address - Fax:832-514-7041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3131207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty