Individual
GREGORY S ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1305 WONDER WORLD DR, SUITE 105, SAN MARCOS, TX 78666-7546
(512) 353-8161
(512) 353-8255
Mailing address
PO BOX 20452, YPS-CRED, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
A810161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04624594
—
MS
05
—
200648804
—
TX
01
—
8876UD
BCBS TX
TX
Enumeration date
07/12/2006
Last updated
09/04/2014
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