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Organization
THOMAS HOWARD ALEXANDER JR
Active
Organization
THOMAS HOWARD ALEXANDER JR
Active
Other names
Thomas H Alexander Jr Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HOWARD ALEXANDER JR. R.V.T. (OWNER)
(903) 592-8685
Entity
Organization
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 906B, TYLER, TX 75701-1958
(903) 592-8685
Mailing address
PO BOX 6813, TYLER, TX 75711-6813
(903) 592-8685
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088029602
—
TX
01
—
P00953757
RR MEDICARE
TX
Enumeration date
12/14/2009
Last updated
05/15/2012
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