MEDICARE: CHRISTAL ALEXANDER

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1679041149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTAL ALEXANDER

Provider Business Mailing Address
First Line	:	4202 JARBET DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78220-1647
Country	:	US
Telephone Number	:	210-745-8046
Fax Number	:

Provider Business Practice Location Address
First Line	:	1848 LOCKHILL SELMA RD STE 101
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1566
Country	:	US
Telephone Number	:	210-254-3618
Fax Number	:

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

Provider Enumeration Date	:	11/02/2018
Last Update Date	:	11/02/2018

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Directions to “ CHRISTAL ALEXANDER ” Practice Location

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