Organization
THOMAS H ALEXANDER JR SERVICES
Active
Parent organization
THOMAS ALEXANDER JR SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOMAS ALEXANDER JR SERVICES
Authorized official
THOMAS ALEXANDER, JR. R.V.T. (SOLE PROPRIETOR)
(903) 592-8685
Entity
Organization
Contact information
Practice address
1301 DOCTORS DR, TYLER, TX 75701-2239
(903) 592-8685
Mailing address
PO BOX 6813, TYLER, TX 75711-6813
(903) 592-8685
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088029601
—
TX
01
—
470000349
RR MEDICARE
TX
Enumeration date
09/17/2007
Last updated
09/23/2010
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