Individual
ALEXA RENEE WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1600 S COULTER ST STE 501, AMARILLO, TX 79106-0702
(806) 418-2548
(806) 367-6307
Mailing address
1600 S COULTER ST STE 501, AMARILLO, TX 79106-0702
(806) 418-2548
(806) 367-6307
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13750
TX
363AM0700X
Medical Physician Assistant
PA13750
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414045101
—
TX
Enumeration date
08/11/2020
Last updated
08/29/2024
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