John Nisley Alexander, PA-C
Individual provider Active NPI Physician Assistant · Terlingua, TX
NPI 1295873164 · NPPES record last updated Feb 11, 2010
Key facts
- NPI
- 1295873164
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA01181 (TX)
- Practice address
- HC 70 Box 788
Terlingua, TX 79852-9734 - Phone
- (432) 424-3535
- Fax
- (432) 424-3538
- NPI assigned
- Feb 2, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1589 | CO | MD | Marriage & Family Therapist |
| 1589 | WY | MD | Physical Therapist |
| PA01181 | TX | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01181 | TX | Yes |
Addresses
Primary practice location
HC 70 Box 788
Terlingua, TX 79852-9734
Mailing address
HC 70 Box 788
Terlingua, TX 79852-9734
Phone (432) 424-3535
Other providers in Terlingua, TX
- Health Hub Physicians Inc
- Health Hub Physicians Inc
- Preventative Care Health Service, Inc.
- Terlingua Fire & EMS, Inc.
- Carlie Morgan Tise
All providers in Terlingua, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.