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General NPI Number Information
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NPI Number | 1184074544
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Entity Type | Organization
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Legal Business Name | DEANDRAE W. ALEXANDER, DDS, P.A.
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 12700 LEXINGTON ST UNIT 220
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City | MANOR
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State | TX
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Zip | 78653-2012
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Country | US
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Telephone | 512-272-4990
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Fax |
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Provider Business Mailing Address
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Address Line | 12700 LEXINGTON ST UNIT 220
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City | MANOR
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State | TX
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Zip | 78653-2012
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Country | US
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Telephone | 512-272-4990
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DEANDRAE W ALEXANDER
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Credential | DDS
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Telephone | 512-276-2907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 23485
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License Number State | TX
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