MEDICARE: CHRISTIANE MICHELLE ROYAL-MCALEXANDER O.D.

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
1	152W00000X	Optometrist	6415TG	TX

General Provider Information

NPI Number	:	1386625689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIANE MICHELLE ROYAL-MCALEXANDER O.D.

Provider Business Mailing Address
First Line	:	3811 S COOPER ST
Second Line	:	SUITE 2004
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4120
Country	:	US
Telephone Number	:	817-468-4461
Fax Number	:	817-468-4742

Provider Business Practice Location Address
First Line	:	3811 S COOPER ST
Second Line	:	SUITE 2004
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4120
Country	:	US
Telephone Number	:	817-468-4461
Fax Number	:	817-468-4742

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	09/12/2016

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