Individual
ALEXANDER FAVELA PARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
(405) 425-0437
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5108
(405) 424-7711
(405) 425-0437
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
01/13/2023
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