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1487671939

NPI Code Detail

MEDICARE: DR. ALEX A KANE MD

MEDICARE: DR. ALEX A KANE MD

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	208200000X	Plastic Surgery Physician	N7552	TX
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	106313	MO
3	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	N7552	TX
4	2086S0120X	Pediatric Surgery Physician	106313	MO
5	2086S0120X	Pediatric Surgery Physician	N7552	TX
6	2086S0122X	Plastic and Reconstructive Surgery Physician	106313	MO
7	2086S0122X	Plastic and Reconstructive Surgery Physician	N7552	TX
8	2086S0127X	Trauma Surgery Physician	106313	MO
9	2086S0127X	Trauma Surgery Physician	N7552	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	TXB114605	OTHER	TX	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487671939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX A KANE MD

Provider Business Mailing Address
First Line	:	1801 INWOOD RD
Second Line	:	DEPARTMENT OF PLASTIC SURGERY
City	:	DALLAS
State	:	TX
Zip	:	75390-9132
Country	:	US
Telephone Number	:	214-456-8671
Fax Number	:	214-456-7278

Provider Business Practice Location Address
First Line	:	1935 MEDICAL DISTRICT DR
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-7701
Country	:	US
Telephone Number	:	214-456-8671
Fax Number	:	214-456-8881

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	01/28/2011

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Directions to “ DR. ALEX A KANE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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