MEDICARE: ALEXANDRA MESSER PNP

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	363LP0200X	Pediatric Nurse Practitioner	1017432	TX
2	363LP0200X	Pediatric Nurse Practitioner	202017669	TX

General Provider Information

NPI Number	:	1780291229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA MESSER PNP

Provider Business Mailing Address
First Line	:	PO BOX 650859
Second Line	:	DEPT 710
City	:	DALLAS
State	:	TX
Zip	:	75265
Country	:	US
Telephone Number	:	409-747-6240
Fax Number	:

Provider Business Practice Location Address
First Line	:	3828 HUGHES CT STE 104
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-6235
Country	:	US
Telephone Number	:	214-771-3712
Fax Number	:

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

Provider Enumeration Date	:	09/29/2020
Last Update Date	:	07/22/2022

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Directions to “ ALEXANDRA MESSER PNP” Practice Location

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