Provider Demographics
NPI:1770369928
Name:LINARES, ALEXANDER ANDRES (DMD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:ANDRES
Last Name:LINARES
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 BELLAIRE BLVD STE DD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1170
Mailing Address - Country:US
Mailing Address - Phone:713-664-8533
Mailing Address - Fax:
Practice Address - Street 1:4009 BELLAIRE BLVD STE DD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-1170
Practice Address - Country:US
Practice Address - Phone:713-664-8533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX375361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice