MEDICARE: DR. ALEX JOHN MCKINLAY M.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	207YS0012X	Sleep Medicine (Otolaryngology) Physician	S8075	TX
2	207Y00000X	Otolaryngology Physician	S8075	TX

General Provider Information

NPI Number	:	1386668713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX JOHN MCKINLAY M.D.

Provider Business Mailing Address
First Line	:	21134 MARKET RDG STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4986
Country	:	US
Telephone Number	:	210-322-4443
Fax Number	:

Provider Business Practice Location Address
First Line	:	21134 MARKET RDG STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-4986
Country	:	US
Telephone Number	:	210-322-4443
Fax Number	:

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	05/21/2025

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