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Individual

ALEXA JANECEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6560 FANNIN ST, SUITE 1750, HOUSTON, TX 77030-2761
(713) 790-4830
(713) 793-7824
Mailing address
6560 FANNIN ST, SUITE 1750, HOUSTON, TX 77030-2761
(713) 790-4830
(713) 793-7824

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10820
TX
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8677MA
BCBS
TX
Enumeration date
09/28/2016
Last updated
01/17/2017
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