Individual
ALEXIS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3541 WASHINGTON BLVD, HALETHORPE, MD 21227-1622
(443) 543-9914
Mailing address
3541 WASHINGTON BLVD STE 110, HALETHORPE, MD 21227-1623
(443) 543-9914
(833) 464-4420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
U2182
TX
207QA0505X
Adult Medicine Physician
Primary
D0098412
MD
390200000X
Student in an Organized Health Care Education/Training Program
BP10074825
TX
Other
Enumeration date
04/16/2021
Last updated
09/13/2024
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