Provider Demographics
NPI:1669028502
Name:CHASE, ALEX J (MED)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:J
Last Name:CHASE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:MICHELLE
Other - Last Name:VALIGURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14781 MEMORIAL DR # 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-5210
Mailing Address - Country:US
Mailing Address - Phone:713-859-8859
Mailing Address - Fax:
Practice Address - Street 1:2323 TIMBER SHADOWS DR STE B
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2028
Practice Address - Country:US
Practice Address - Phone:832-233-3086
Practice Address - Fax:832-201-8229
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX77074101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional