Provider Demographics
NPI:1871672089
Name:ALEXANDER, ANNE LYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:LYNN
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2911 MEDICAL ARTS ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3376
Mailing Address - Country:US
Mailing Address - Phone:512-476-0190
Mailing Address - Fax:512-476-0254
Practice Address - Street 1:2911 MEDICAL ARTS ST
Practice Address - Street 2:# 18
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3376
Practice Address - Country:US
Practice Address - Phone:512-476-0190
Practice Address - Fax:512-476-0254
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2014-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH9746207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1633919Medicaid
TX1633919Medicaid
8A6197Medicare PIN