Provider Demographics
NPI:1649272394
Name:ALEXANDER, PRESTON C (MD)
Entity type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:C
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:555 REPUBLIC DR
Mailing Address - Street 2:SUITE # 460
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:972-644-2819
Mailing Address - Fax:972-680-2949
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:SUITE # 205
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0500
Practice Address - Country:US
Practice Address - Phone:972-377-6553
Practice Address - Fax:972-377-6453
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2022-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG4779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117299103Medicaid
TX117299104Medicaid
TX117299105Medicaid
TX117299106Medicaid
TX117299106Medicaid
TXC12691Medicare UPIN