Individual
MRS. ALEXANDRA FUNCHESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
101 SOUTHWESTERN BLVD, SUITE 113, SUGAR LAND, TX 77478-3668
(713) 825-6974
(281) 242-0111
Mailing address
6907 ELM TRACE DR, SUGAR LAND, TX 77479-6031
(713) 825-6974
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
50460
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB160213
MEDICARE PTAN
TX
Enumeration date
01/08/2007
Last updated
01/14/2014
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