Alexus Dutchess Medical Consulant

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALEXUS DUTCHESS MEDICAL CONSULANT

Practice address

3167 Gudaloupe
Grand Prairie, TX 75054

Phone

(469) 360-5261

Fax

(972) 572-9808

NPI assigned

Apr 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Katherine Yvette Henderson

Title

Manger

Phone

(469) 360-5261

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1275656274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 GUADALOUPE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546727",
            "telephone_number": "469-360-5261",
            "fax_number": "972-572-9808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3167 GUDALOUPE",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75054",
            "telephone_number": "469-360-5261",
            "fax_number": "972-572-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXUS DUTCHESS MEDICAL CONSULANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "469-360-5261",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.