Individual
THOMAS ALEXANDER JR SERVICES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
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
Update your record
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