Healthcare Provider Details

I. General information

NPI: 1326155284
Provider Name (Legal Business Name): ALEXANDER HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 SPRING VALLEY RD SUITE 40
DALLAS TX
75244
US

IV. Provider business mailing address

PO BOX 1731
ADDISON TX
75001-1731
US

V. Phone/Fax

Practice location:
  • Phone: 972-488-9686
  • Fax: 972-241-1936
Mailing address:
  • Phone: 972-488-9686
  • Fax: 972-241-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC6832
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberDC9801
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberPT1126068
License Number StateTX

VIII. Authorized Official

Name: DR. TRACE L ALEXANDER
Title or Position: DOCTOR
Credential: DC
Phone: 972-488-9686