Provider Demographics
NPI:1811542632
Name:BARANOFF, ALEXIS LEIGH (MD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:LEIGH
Last Name:BARANOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:THE UNIVERSITY OF TEXAS GME OFFICE
Mailing Address - Street 2:1501 RED RIVER, 2ND FLOOR
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78712
Mailing Address - Country:US
Mailing Address - Phone:512-495-5555
Mailing Address - Fax:
Practice Address - Street 1:DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS GME OFFI
Practice Address - Street 2:1501 RED RIVER, 2ND FLOOR
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78712-5326
Practice Address - Country:US
Practice Address - Phone:512-495-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
TXBP10088035207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician