Individual
MRS. ALEXIS FUSELIER HOLDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2200 PARK BEND DR, BLDG # 3, SUITE 300, AUSTIN, TX 78758-5387
(512) 467-2727
(512) 873-7576
Mailing address
2200 PARK BEND DR, BLDG # 3, SUITE 300, AUSTIN, TX 78758-5387
(512) 467-2727
(512) 873-7576
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA03794
PA LICENSE NUMBER
TX
Enumeration date
06/01/2007
Last updated
02/02/2011
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