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Individual
ALEXANDRA KAY PROBST
Active
Individual
ALEXANDRA KAY PROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06667
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212511401
—
TX
01
—
818N95
BCBS
TX
01
—
P00881576
RR MEDICARE
TX
Enumeration date
03/15/2010
Last updated
02/28/2011
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