Individual
TERRI W ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-3124
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-3124
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
749365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000049790
—
IN
01
—
749365
STATE LICENSE
TX
Enumeration date
11/14/2006
Last updated
06/26/2013
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