MEDICARE: GAIL ALEXANDER MD

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	2084P0800X	Psychiatry Physician	153267	OR
2	2084P0800X	Psychiatry Physician	J2477	TX

General Provider Information

NPI Number	:	1821257841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL ALEXANDER MD

Provider Business Mailing Address
First Line	:	4511 PARK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-1128
Country	:	US
Telephone Number	:	214-662-9423
Fax Number	:

Provider Business Practice Location Address
First Line	:	4511 PARK AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23221-1128
Country	:	US
Telephone Number	:	214-662-9423
Fax Number	:

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

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	07/22/2022

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Directions to “ GAIL ALEXANDER MD” Practice Location

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