Individual
THOMAS ALEXANDER JR SERVICES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 OLYMPIC PLAZA CIR STE 850, SOUTHWESTERN CEREBRAL CIRCULATORY DYNAMICS, TYLER, TX 75701-1955
(903) 592-8685
(903) 597-3129
Mailing address
PO BOX 6813, TYLER, TX 75711-6813
(903) 592-8685
(903) 597-3129
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
293D00000X
Physiological Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035DC
BCBS
TX
01
—
0036DC
BCBS
TX
01
—
0037DC
BCBS
TX
Enumeration date
06/29/2006
Last updated
05/05/2009
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