Individual
ALEXANDRA NEBERGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104
(817) 702-4151
(817) 702-4161
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
(817) 702-8445
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12070
TX
363A00000X
Physician Assistant
Primary
PA12070
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/29/2018
Last updated
01/14/2020
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