Individual
DEREK ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5833 W I-20, ARLINGTON, TX 76017-1057
(817) 516-1115
(817) 516-1104
Mailing address
5833 W I-20, ARLINGTON, TX 76017-1057
(817) 516-1115
(817) 516-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1218497
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1218487
TEXAS PHYSICAL THERAPY LICENSE
TX
Enumeration date
07/12/2012
Last updated
07/31/2013
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