MEDICARE: DR. WILIAM ALLAN ALEXANDER M.D.

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	208D00000X	General Practice Physician	H4123	TX

General Provider Information

NPI Number	:	1790874519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILIAM ALLAN ALEXANDER M.D.

Provider Business Mailing Address
First Line	:	4500 STEINER RANCH BLVD
Second Line	:	#1906
City	:	AUSTIN
State	:	TX
Zip	:	78732-2301
Country	:	US
Telephone Number	:	832-687-5359
Fax Number	:	512-266-1319

Provider Business Practice Location Address
First Line	:	4500 STEINER RANCH BLVD
Second Line	:	#1906
City	:	AUSTIN
State	:	TX
Zip	:	78732-2301
Country	:	US
Telephone Number	:	832-687-5359
Fax Number	:	512-266-1319

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

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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