Dr Alexander L.L.C

Primary specialty

SpecialistTaxonomy code 174400000X

License

NM99-1 Issued in NM

Legal business name

DR ALEXANDER L.L.C

Practice address

1040 Sakelares Blvd
Grants, NM 87020-3819

Phone

(505) 287-4489

Fax

(505) 287-8441

NPI assigned

Jul 21, 2006

Organization subpart

No

Name

Ms. Judy A Gallegos

Title

Billing Clerk

Phone

(505) 287-4489

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vinu Alexander, MD

  • Family Medicine Physician
  • Ft Worth, TX
  • NPI 1376599209
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2008.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1104846013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SAKELARES BLVD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203819",
            "telephone_number": "505-287-4489",
            "fax_number": "505-287-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 SAKELARES BLVD",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203819",
            "telephone_number": "505-287-4489",
            "fax_number": "505-287-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALEXANDER L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "GALLEGOS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "505-287-4489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "NM99-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62971",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grants, NM
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.