Provider Demographics
NPI:1477272482
Name:CROWELL, ALEXANDRA MONIQUE (PA-C)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:MONIQUE
Last Name:CROWELL
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E FORT DAVIS AVE
Mailing Address - Street 2:
Mailing Address - City:ALPINE
Mailing Address - State:TX
Mailing Address - Zip Code:79830-2615
Mailing Address - Country:US
Mailing Address - Phone:210-793-5841
Mailing Address - Fax:
Practice Address - Street 1:1707 N 4TH ST
Practice Address - Street 2:
Practice Address - City:ALPINE
Practice Address - State:TX
Practice Address - Zip Code:79830-2920
Practice Address - Country:US
Practice Address - Phone:432-837-4555
Practice Address - Fax:432-837-4556
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA18530363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant