Individual
ALEKSANDRA VIDACIC
Active
Individual
ALEKSANDRA VIDACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10026411
TX
207R00000X
Internal Medicine Physician
Primary
N4181
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206611002
—
TX
05
—
206611003
—
TX
05
—
206611006
—
TX
05
—
206611007
—
TX
01
—
3864783243
MYUTMB 3864783243-COMMERCIAL NUMBER
—
Enumeration date
06/14/2007
Last updated
12/02/2014
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