MEDICARE: ALEXANDRA ABLES 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	2080S0012X	Pediatric Sleep Medicine Physician	DR.0072541	CO
2	390200000X	Student in an Organized Health Care Education/Training Program
3	171000000X	Military Health Care Provider

General Provider Information

NPI Number	:	1962159673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA ABLES MD

Provider Business Mailing Address
First Line	:	1100 WILFORD HALL LOOP BLDG 4554
Second Line	:
City	:	JBSA LACKLAND
State	:	TX
Zip	:	78236-5638
Country	:	US
Telephone Number	:	210-916-9928
Fax Number	:

Provider Business Practice Location Address
First Line	:	1100 WILFORD HALL LOOP BLDG 4554
Second Line	:
City	:	JBSA LACKLAND
State	:	TX
Zip	:	78236-5638
Country	:	US
Telephone Number	:	210-916-9928
Fax Number	:	210-916-9332

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

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	05/26/2026

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