Healthcare Provider Details

I. General information

NPI: 1306225784
Provider Name (Legal Business Name): STEVEN A ALEXANDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2015
Last Update Date: 08/23/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

IV. Provider business mailing address

1201 W 38TH ST
AUSTIN TX
78705-1006
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-3440
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberS9447
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: