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NPI Code Detail

MEDICARE: ALEXANDRIA KING

MEDICARE:   ALEXANDRIA  KING
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
1163WX0003XInpatient Obstetric Registered NurseR0135459OK

General Provider Information

NPI Number : 1780536763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA KING
Provider Business Mailing Address
First Line : 2717 HOWELL ST APT 2411
Second Line :
City : DALLAS
State : TX
Zip : 75204-1110
Country : US
Telephone Number : 405-505-5661
Fax Number :
Provider Business Practice Location Address
First Line : 3500 GASTON AVE
Second Line :
City : DALLAS
State : TX
Zip : 75246-2088
Country : US
Telephone Number : 214-820-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ ALEXANDRIA KING ” Practice Location

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