Provider Demographics
NPI:1922487453
Name:ALEXANDER, DONALD ERIC (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:ERIC
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:303 W LOOP 281
Mailing Address - Street 2:SUITE 110 #230
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4470
Mailing Address - Country:US
Mailing Address - Phone:903-399-1627
Mailing Address - Fax:
Practice Address - Street 1:303 W LOOP 281
Practice Address - Street 2:SUITE 110 #230
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4470
Practice Address - Country:US
Practice Address - Phone:903-399-1627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10563722251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics