Alexandra Wilcox, PA-C
Physician Assistant in Austin, TX. Individual provider (NPI-1).
NPI number1679129282
StatusActive
Last updated in NPPESSep 28, 2021
Details
- NPI
- 1679129282
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Wilcox
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2019
- Certification date
- Dec 29, 2020
- Last updated
- Sep 28, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1178253 | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3410 Far West Blvd Ste 100Austin, TX 78731-3187
Phone 512-717-9775
Mailing address
3410 Far West Blvd Ste 100Austin, TX 78731-3187
Phone 512-717-9775
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