Individual
ALEXANDRA GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2810 DACY LN, KYLE, TX 78640-6322
(512) 268-8900
(512) 268-2250
Mailing address
1222N MAIN AVE, SAN ANTONIO, TX 78212-5712
(210) 271-7411
(210) 271-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187964501
—
TX
Enumeration date
10/12/2006
Last updated
12/01/2015
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