MR. LUCILLOUS P ALEXANDER (NPI# 1215228119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215228119 |
| Entity Type | Individual |
| Full Name | MR. LUCILLOUS P ALEXANDER |
| Credential | P.A. |
| Practice Address |
811 W Interstate 20 Arlington TX 76017-5870 |
| Practice Telephone | 8177848268 |
| Practice Fax Number | 8178048178 |
| Mailing Telephone | 8177848268 |
| Mailing Fax Number | 8178048178 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06875 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
811 W INTERSTATE 20 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336144674 | William T Bowers | Surgery | 811 W Interstate 20, Suite 212, Arlington, TX 76017-5870 | 2005-06-14 |
| 1962947283 | Vanessa Marie Mcdaniel | Nurse Practitioner | 811 W Interstate 20, Arlington, TX 76017 | 2016-12-21 |
| 1073778288 | David George Markovich Jr. | Physical Therapist | 811 W Interstate 20, Suite 136, Arlington, TX 76017-5870 | 2008-07-28 |
| 1497921829 | Revathi Angitapalli | Internal Medicine | 811 W Interstate 20, Suite G14, Arlington, TX 76017-5870 | 2008-05-06 |
| 1033235627 | Kory Jones | Surgery | 811 W Interstate 20, Ste 212, Arlington, TX 76017-5870 | 2007-03-22 |
| 1659385268 | Jason Michael Greenfield | Urology | 811 W Interstate 20, Suite G22, Arlington, TX 76017-5870 | 2006-07-28 |
| 1053359562 | Margaret Manion Alloy | Nurse Practitioner | 811 W Interstate 20, Suite 218, Arlington, TX 76017-5870 | 2006-06-04 |
| 1720051212 | David C. Dyslin | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-07 |
| 1275506776 | Benjamin L. Bowers | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-07 |
| 1417929183 | Harry Paul Stiefel | Surgery | 811 W Interstate 20, Ste. 212, Arlington, TX 76017-5870 | 2006-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 1699130310 | Nilima Patel | Physician Assistant | 1635 N George Mason Dr Ste 180, Arlington, VA 22205-3633 | 2015-12-22 |
| 1821399577 | Nicole Sibley | Physician Assistant | 200 North Glebe Road, Suite 300, Arlington, VA 22203 | 2010-11-11 |
| 1457582637 | Raphem Health Services Pllc | Physician Assistant | 614 Matlock Centre Circle, Arlington, TX 76015-2536 | 2009-08-05 |
| 1568691764 | W. Noubani, Pa Medical Pllc | Physician Assistant | 6407 S Cooper St, 117, Arlington, TX 76001-6795 | 2009-07-08 |
| 1215126297 | Debbie Slay | Physician Assistant | 711 East Lamar Blvd., Suite #200, Arlington, TX 76011-3888 | 2007-10-16 |
| 1548355167 | Emily Jace Scherer | Physician Assistant | 1600 N Oak St, Suite 509, Arlington, VA 22209-2751 | 2006-10-03 |
| 1992753248 | Heidi Mcmillan Horton | Physician Assistant | 1132 S Bowen Rd, Arlington, TX 76013-2204 | 2006-05-05 |
| 1902872039 | Us Army Medcom | Physician Assistant | 900 Army Navy Dr, Suite 1533, Arlington, VA 22202-4927 | 2006-02-28 |
| 1053392126 | Michael Alexander Robertson Sr. | Physician Assistant | Delorenzo Health Clinic, Pentagon, Arlington, VA 22202 | 2005-11-07 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.