Provider Demographics
NPI:1841433612
Name:QUIROS, ALEXANDER EDWARD (PHD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:EDWARD
Last Name:QUIROS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:19500 BULVERDE RD
Mailing Address - Street 2:C/O HEIDI TEASLEY
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78259-3707
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19500 BULVERDE RD
Practice Address - Street 2:C/O HEIDI TEASLEY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-3707
Practice Address - Country:US
Practice Address - Phone:800-627-7271
Practice Address - Fax:210-257-0462
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX34239103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical