MEDICARE: ALEXANDRIA GENTRY

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	225100000X	Physical Therapist	1308279	TX

General Provider Information

NPI Number	:	1679052815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRIA GENTRY

Provider Business Mailing Address
First Line	:	7929 BROOKRIVER DR STE 770
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7929 BROOKRIVER DR STE 770
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75247-4900
Country	:	US
Telephone Number	:	214-838-7975
Fax Number	:

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

Provider Enumeration Date	:	08/08/2018
Last Update Date	:	02/26/2026

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Directions to “ ALEXANDRIA GENTRY ” Practice Location

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