Individual
ALEXANDER THOMAS KIETZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390-7709
(214) 648-3433
Mailing address
1405 BRIGHTON CT, SOUTHLAKE, TX 76092-7000
(682) 216-6414
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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