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Individual

ALEXANDRA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 597-1351
(903) 535-7384
Mailing address
2323 W FRONT ST, TYLER, TX 75702-7747
(903) 597-1351
(903) 535-7384

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10297
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
357065701
TX
05
357065702
TX
Enumeration date
04/26/2016
Last updated
03/20/2025
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