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Individual

ROSS A ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555
Mailing address
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7610
(325) 949-9555

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F3705
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
132240604
TX
01
8W5001
BLUE CROSS
TX
Enumeration date
11/08/2005
Last updated
06/09/2014
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