Provider Demographics
NPI:1760601611
Name:ALEXANDER, JAMES DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DAVID
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2004 BOTTS DR
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-1817
Mailing Address - Country:US
Mailing Address - Phone:817-228-1522
Mailing Address - Fax:817-275-8889
Practice Address - Street 1:3100 W ARKANSAS LN STE F
Practice Address - Street 2:
Practice Address - City:DALWORTHINGTON GARDENS
Practice Address - State:TX
Practice Address - Zip Code:76016-5872
Practice Address - Country:US
Practice Address - Phone:817-275-8888
Practice Address - Fax:817-275-8889
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5030111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX46-0876369OtherCORPORATION NUMBER