MEDICARE: ALEXIS SUTTER

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1700711280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS SUTTER

Provider Business Mailing Address
First Line	:	4835 LBJ FWY STE 900
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-6001
Country	:	US
Telephone Number	:	469-420-5544
Fax Number	:	866-284-2475

Provider Business Practice Location Address
First Line	:	5016 S US HIGHWAY 75
Second Line	:
City	:	DENISON
State	:	TX
Zip	:	75020-4584
Country	:	US
Telephone Number	:	903-416-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “ ALEXIS SUTTER ” Practice Location

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