# ALEXANDER CHRISTIAN BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316576044
- **Gender:** Man
- **Credential:** PA-S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 4585 | TN | — |
| 363A00000X | Physician Assistant | PA15352 | TX | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/04/2020
- **Last updated:** 03/02/2022