MEDICARE: ALEXANDRA RENEE MAY

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	2255A2300X	Athletic Trainer	AT7267	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AT7267	OTHER	TX	ATHLETIC TRAINER

General Provider Information

NPI Number	:	1992454789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA RENEE MAY

Provider Business Mailing Address
First Line	:	2367 PENDANT PASS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5605
Country	:	US
Telephone Number	:	210-323-9210
Fax Number	:

Provider Business Practice Location Address
First Line	:	2367 PENDANT PASS
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78232-5605
Country	:	US
Telephone Number	:	210-323-9210
Fax Number	:

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

Provider Enumeration Date	:	03/21/2022
Last Update Date	:	03/21/2022

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Directions to “ ALEXANDRA RENEE MAY ” Practice Location

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