Provider Demographics
NPI:1912247586
Name:PLUNKETT, ALEXA
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:PLUNKETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 CROSS TIMBER ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75021-5805
Mailing Address - Country:US
Mailing Address - Phone:512-496-6211
Mailing Address - Fax:
Practice Address - Street 1:1128 HOLLOW CREEK DR
Practice Address - Street 2:#3
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-2167
Practice Address - Country:US
Practice Address - Phone:512-496-6211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula