Provider Demographics
NPI:1023464690
Name:SANDOVAL-ALEXANDER, ALICIA (NP, FNP-BC, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:SANDOVAL-ALEXANDER
Suffix:
Gender:F
Credentials:NP, FNP-BC, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 ELDRIDGE PKWY APT 219
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2163
Mailing Address - Country:US
Mailing Address - Phone:832-850-3110
Mailing Address - Fax:832-850-3112
Practice Address - Street 1:17774 CYPRESS ROSEHILL RD STE 400
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7815
Practice Address - Country:US
Practice Address - Phone:832-850-3110
Practice Address - Fax:832-850-3112
Is Sole Proprietor?:No
Enumeration Date:2016-05-12
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130224363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily