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NPI Code Detail

MEDICARE: DR. ALEXANDER TIMEHIN EVERETT

MEDICARE: DR. ALEXANDER TIMEHIN EVERETT
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
1183500000XPharmacist70665TX

General Provider Information

NPI Number : 1619673639
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALEXANDER TIMEHIN EVERETT
Provider Business Mailing Address
First Line : 7208 FM 78
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1766
Country : US
Telephone Number : 210-666-0162
Fax Number : 210-666-0592
Provider Business Practice Location Address
First Line : 7208 FM 78
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78244-1766
Country : US
Telephone Number : 210-666-0162
Fax Number : 210-666-0592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2023
Last Update Date : 02/01/2023

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Directions to “ DR. ALEXANDER TIMEHIN EVERETT ” Practice Location

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