MEDICARE: RICHARD ANTHONY ALEXANDER D.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
1	111N00000X	Chiropractor	8088	TX

General Provider Information

NPI Number	:	1528094620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD ANTHONY ALEXANDER D.C.

Provider Business Mailing Address
First Line	:	16518 OLD STABLE RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78247-4419
Country	:	US
Telephone Number	:	210-404-1790
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 NE LOOP 410
Second Line	:	STE 110
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1610
Country	:	US
Telephone Number	:	210-223-9797
Fax Number	:	210-223-9733

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

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	07/08/2007

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