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NPI Code Detail

MEDICARE: MR. ALEXANDER F. LACERAS M.D.

MEDICARE: MR. ALEXANDER F. LACERAS 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
1207Q00000XFamily Medicine PhysicianP0426TX

General Provider Information

NPI Number : 1841223013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEXANDER F. LACERAS M.D.
Provider Business Mailing Address
First Line : 5114 REBEL RIDGE DR
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-5444
Country : US
Telephone Number : 281-265-6914
Fax Number :
Provider Business Practice Location Address
First Line : 818 RINGOLD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77088-6368
Country : US
Telephone Number : 281-448-6391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 03/08/2022

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