Provider Demographics
NPI:1013238187
Name:BARNES, ALEXANDRA BROOKS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:BROOKS
Last Name:BARNES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 DURBAN CT
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-6226
Mailing Address - Country:US
Mailing Address - Phone:512-913-9782
Mailing Address - Fax:
Practice Address - Street 1:3004 DURBAN CT
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-6226
Practice Address - Country:US
Practice Address - Phone:512-913-9782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-11
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25468122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist