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NPI Code Detail

MEDICARE: ALEXANDRA R FIERRO PA-C

MEDICARE: ALEXANDRA R FIERRO PA-C
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
1363A00000XPhysician AssistantPA13309TX

General Provider Information

NPI Number : 1255986402
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA R FIERRO PA-C
Provider Business Mailing Address
First Line : PO BOX 610344
Second Line :
City : DALLAS
State : TX
Zip : 75261-0344
Country : US
Telephone Number : 432-337-3117
Fax Number : 432-640-2868
Provider Business Practice Location Address
First Line : 710 E 6TH ST
Second Line :
City : ODESSA
State : TX
Zip : 79761-4655
Country : US
Telephone Number : 254-245-9175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 06/27/2025

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Directions to “ ALEXANDRA R FIERRO PA-C” Practice Location

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