# ALEXANDER ORLOV DO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114167863
- **Authorized official:** ALEXANDER ORLOV D.O. (PHYSICIAN)
- **Authorized official phone:** (936) 632-2468

## Contact information

- **Practice address:** 710 GASLIGHT BLVD STE A, LUFKIN, TX 75904-3187
- **Practice address phone:** (936) 632-2468
- **Practice address fax:** (936) 632-0794
- **Mailing address:** 710 GASLIGHT BLVD. SUITE A, LUFKIN, TX 75904
- **Mailing address phone:** (936) 632-2468
- **Mailing address fax:** (936) 632-0794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | J4402 | TX | Yes |

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 02/20/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 122107905 | — | TX |
| 01 | — | 1306852041 | NATIONAL PROVIDERS IDENTIFIER | TX |