THOMAS ALEXANDER JR SERVICES (NPI# 1619905502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619905502 |
Entity Type | Individual |
Full Name | THOMAS ALEXANDER JR SERVICES |
Practice Address |
700 Olympic Plaza Cir Ste 850 Southwestern Cerebral Circulatory Dynamics Tyler TX 75701-1955 |
Mailing Address |
Po Box 6813 Tyler TX 75711-6813 |
Practice Telephone | 9035928685 |
Practice Fax Number | 9035973129 |
Mailing Telephone | 9035928685 |
Mailing Fax Number | 9035973129 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2009-05-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
N | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | BCBS | 0035DC | 01 |
TX | BCBS | 0036DC | 01 |
TX | BCBS | 0037DC | 01 |
Street Address |
700 OLYMPIC PLAZA CIR STE 850 SOUTHWESTERN CEREBRAL CIRCULATORY DYNAMICS |
City | TYLER |
State | TX |
Zip Code | 75701-1955 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336757228 | Amanda J Shipp | Nurse Practitioner | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-07-16 |
1316573751 | Eryn Ruth Hunter | Physician Assistant | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2020-03-17 |
1619442282 | Mayra Alejandra Avila Acord | Registered Nurse | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2018-10-09 |
1508376716 | Neuro Ir of East Texas | Radiology | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2017-10-03 |
1497919310 | Nicholas Stephen Andrade | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2008-07-10 |
1669672960 | Stephen Vincent Nalbach Jr. | Neurological Surgery | 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701-1955 | 2007-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 2471V0105X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Vascular Sonography |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629349790 | Mansik Kim | Radiologic Technologist | 8831 Long Point Dr. Suite #104, Houston, TX 77055-4402 | 2012-01-22 |
1801172978 | Derwin Emil Bios | Radiologic Technologist | 524 Meadowlark St, Lakeway, TX 78734-5313 | 2011-11-02 |
1982904405 | Ultimate Ultrasound Services | Radiologic Technologist | 2300 Mccue Rd, 321, Houston, TX 77056-4633 | 2010-11-01 |
1134433600 | Candace Lynn Graham | Radiologic Technologist | 5805 93rd St, Lubbock, TX 79424-3636 | 2010-07-27 |
1659530905 | Gary Donald Thomas | Radiologic Technologist | 515 W Woodard St, Suite 101, Denison, TX 75020-3190 | 2008-06-03 |
1013530310 | Micah Johnson | Radiologic Technologist | 9819 Huebner Rd Bldg 4, San Antonio, TX 78240-3253 | 2020-05-20 |
1770966350 | Sarah Gooch | Radiologic Technologist | 9441 Lbj Fwy, Dallas, TX 75243-4545 | 2015-07-01 |
1396143715 | Images of Sound | Radiologic Technologist | 10680 Jones Rd, 150, Houston, TX 77065-5594 | 2014-12-17 |
1053679449 | First Choice Imaging | Radiologic Technologist | 8831 Long Point Rd, 104, Houston, TX 77055-3022 | 2012-04-24 |
1689733495 | Wes Jennings | Radiologic Technologist | 16601 Blanco Rd, #207, San Antonio, TX 78232-1914 | 2006-12-07 |
Find all providers with the same taxonomy |
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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.