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NPI Code Detail

MEDICARE: ALEX XU

MEDICARE: ALEX XU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry40565TX

General Provider Information

NPI Number : 1467150599
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEX XU
Provider Business Mailing Address
First Line : 1885 DALLAS PKWY STE 900
Second Line :
City : PLANO
State : TX
Zip : 75093-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5190 WESTERN CENTER BLVD
Second Line :
City : HALTOM CITY
State : TX
Zip : 76137-2144
Country : US
Telephone Number : 817-656-1215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2023
Last Update Date : 11/21/2024

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Directions to “ ALEX XU ” Practice Location

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