Healthcare Provider Details

I. General information

NPI: 1790874519
Provider Name (Legal Business Name): WILIAM ALLAN ALEXANDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 STEINER RANCH BLVD #1906
AUSTIN TX
78732-2301
US

IV. Provider business mailing address

4500 STEINER RANCH BLVD #1906
AUSTIN TX
78732-2301
US

V. Phone/Fax

Practice location:
  • Phone: 832-687-5359
  • Fax: 512-266-1319
Mailing address:
  • Phone: 832-687-5359
  • Fax: 512-266-1319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberH4123
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: