# SAMUEL M ALEXANDER MD LLC

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

## Provider details

- **NPI number:** 1912227596
- **Authorized official:** SAMUEL M ALEXANDER MD (MD)
- **Authorized official phone:** (504) 455-1107

## Contact information

- **Practice address:** 4720 S I 10 SERVICE RD W, SUITE 400, METAIRIE, LA 70001-7404
- **Practice address phone:** (504) 455-1107
- **Practice address fax:** (504) 887-9167
- **Mailing address:** 4720 S I 10 SERVICE RD W, SUITE 400, METAIRIE, LA 70001-7404
- **Mailing address phone:** (504) 455-1107
- **Mailing address fax:** (504) 887-9167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD020536 | LA | Yes |

## Other

- **Enumeration date:** 06/07/2010
- **Last updated:** 06/07/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1973190 | — | LA |