Provider Demographics
NPI:1952930075
Name:SMITHORAM, ALEXANDRIA LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:LEIGH
Last Name:SMITHORAM
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 TENNYSON DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-3743
Mailing Address - Country:US
Mailing Address - Phone:469-230-0933
Mailing Address - Fax:
Practice Address - Street 1:4301 WEST MARKHAM ST, SLOT 531
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205
Practice Address - Country:US
Practice Address - Phone:501-686-5259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program