Individual
MRS. ALEXANDRIA GERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 HOSPITAL PKWY STE 403, BEDFORD, TX 76022-6932
(817) 848-4124
Mailing address
375 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA18563
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2021
Last updated
11/20/2024
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