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Individual

DR. ALEXANDRA E ELY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 406-7315
Mailing address
4515 SETON CENTER PKWY STE 215, AUSTIN, TX 78759-5785
(512) 231-5507
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101012530
MI
207P00000X
Emergency Medicine Physician
Primary
M5698
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
206376003
TX
05
206376004
TX
05
4845130-11
MI
Enumeration date
08/09/2006
Last updated
07/21/2022
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