Individual
JANIS KAY ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3502 KNICKERBOCKER RD, SAN ANGELO, TX 76904-7671
(325) 658-1511
(325) 481-2166
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 658-1511
(325) 481-2166
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825N69
BCBS
TX
01
—
PA06163
LICENSE
TX
Enumeration date
03/24/2009
Last updated
11/03/2016
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