Provider Demographics
NPI:1821447178
Name:ALEXANDER, JAMES COREY (CO)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:COREY
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:17530 DUGDALE DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46635-1583
Mailing Address - Country:US
Mailing Address - Phone:574-233-3352
Mailing Address - Fax:574-288-1514
Practice Address - Street 1:2525 W BELLFORT AVE
Practice Address - Street 2:155
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-5000
Practice Address - Country:US
Practice Address - Phone:832-487-9323
Practice Address - Fax:832-831-4339
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist