Organization
ALEXANDER ORLOV DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ORLOV D.O. (PHYSICIAN)
(936) 632-2468
Entity
Organization
Contact information
Practice address
710 GASLIGHT BLVD STE A, LUFKIN, TX 75904-3187
(936) 632-2468
(936) 632-0794
Mailing address
710 GASLIGHT BLVD. SUITE A, LUFKIN, TX 75904
(936) 632-2468
(936) 632-0794
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J4402
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122107905
—
TX
01
—
1306852041
NATIONAL PROVIDERS IDENTIFIER
TX
Enumeration date
02/20/2009
Last updated
02/20/2009
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