Provider Demographics
NPI:1932353646
Name:CHARLOTTE B. ALEXANDER MD PA
Entity Type:Organization
Organization Name:CHARLOTTE B. ALEXANDER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:B
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-265-4263
Mailing Address - Street 1:14090 SOUTHWEST FWY STE 130
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3683
Mailing Address - Country:US
Mailing Address - Phone:281-265-4263
Mailing Address - Fax:281-265-4265
Practice Address - Street 1:14090 SOUTHWEST FWY STE 130
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3683
Practice Address - Country:US
Practice Address - Phone:281-265-4263
Practice Address - Fax:281-265-4265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-07
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF7084207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00Z962OtherMEDICARE
00Z962OtherMEDICARE
TXC12674Medicare UPIN