Individual
DEBORAH VEREEN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6100 JACKSBORO HWY, FORT WORTH, TX 76135-3703
(817) 237-4594
Mailing address
6100 JACKSBORO HWY, FORT WORTH, TX 76135-3703
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00647
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196327401
—
TX
01
—
8N9188
BCBS
TX
Enumeration date
04/17/2006
Last updated
09/19/2011
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