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NPI Code Detail

MEDICARE: MR. DERECK ALEXANDER

MEDICARE:  MR. DERECK  ALEXANDER
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
11041C0700XClinical Social WorkerC017412NC
21041C0700XClinical Social Worker65175TX

General Provider Information

NPI Number : 1134888019
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DERECK ALEXANDER
Provider Business Mailing Address
First Line : 5900 BALCONES DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78731-4298
Country : US
Telephone Number : 773-242-9333
Fax Number :
Provider Business Practice Location Address
First Line : 551 S INTERSTATE 35 STE 200
Second Line :
City : ROUND ROCK
State : TX
Zip : 78664-2820
Country : US
Telephone Number : 512-241-7314
Fax Number : 512-980-8783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2021
Last Update Date : 06/06/2025

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Directions to “ MR. DERECK ALEXANDER ” Practice Location

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