Individual provider · NPI-1

Dr. Trace Lawrence Alexander, FNP,DC

Nurse Practitioner, Family · Plano, TX

NPI number1952307845
StatusActive
Last updated in NPPESJul 24, 2020

Details

NPI
1952307845
Entity type
Individual (NPI-1)
Name
Dr. Trace Lawrence Alexander
Credential
FNP,DC
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2005
Certification date
Jul 24, 2020
Last updated
Jul 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP126290TXYes
111N00000X Chiropractor6832DCTX

Practice location

5425 W Spring Creek Pkwy Ste 115
Plano, TX 75024-4333

Phone 972-899-9797 · Fax 469-771-0268

Mailing address

Po Box 118917
Carrollton, TX 75011-8917

Phone 972-899-9797 · Fax 469-771-0268

Other practice locations

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Phone 972-899-9797 · Fax 469-771-0268

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