Individual
ALEX C VIDAEFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 TAUB LOOP, HOUSTON, TX 77030-1608
(713) 526-4243
Mailing address
PO BOX 201088, HOUSTON, TX 77216-1088
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
BV2407674
WA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
L2728
TX
207VM0101X
Maternal & Fetal Medicine Physician
MD70097761
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150664401
—
TX
01
—
8A4436
BCBS
TX
Enumeration date
05/27/2006
Last updated
05/13/2026
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