THOMAS HOWARD ALEXANDER JR (NPI# 1184953580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184953580 |
Entity Type | Organization |
Organization Name | THOMAS HOWARD ALEXANDER JR |
Other Organization Name | THOMAS H ALEXANDER JR SERVICES |
Practice Address |
700 Olympic Plaza Cir Ste 906b Tyler TX 75701-1958 |
Mailing Address |
Po Box 6813 Tyler TX 75711-6813 |
Practice Telephone | 9035928685 |
Mailing Telephone | 9035928685 |
Enumeration Date | 2009-12-14 |
Last Update Date | 2012-05-15 |
Authorized Official Name | MR. THOMAS HOWARD ALEXANDER JR. (OWNER) |
Authorized Official Telephone | 9035928685 |
Authorized Official Credential | R.V.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 088029602 | 05 | |
TX | RR MEDICARE | P00953757 | 01 |
Other Name | Type Code |
---|---|
Thomas H Alexander Jr Services | Doing Business As Name - Organization |
Street Address |
700 OLYMPIC PLAZA CIR STE 906B |
City | TYLER |
State | TX |
Zip Code | 75701-1958 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
Find all providers in zip 75701 |
Taxonomy Code | 293D00000X |
Grouping | Laboratories |
Classification | Physiological Laboratory |
A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454879 | Btdi Jv, LLP | Physiological Laboratory | 1904 E Southeast Loop 323, Tyler, TX 75701-8337 | 2020-10-16 |
1588274468 | Neuro Diagnostics LLC | Physiological Laboratory | 1402 Rice Rd Ste 100, Tyler, TX 75703-3230 | 2020-08-05 |
1538355268 | Thomas H Alexander Jr Services | Physiological Laboratory | 1301 Doctors Dr, Tyler, TX 75701-2239 | 2007-09-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952574 | Neurodiagnostics and Imaging LLC | Physiological Laboratory | 2024 W 15th St Ste F-352, Plano, TX 75075-7363 | 2020-11-04 |
1831798875 | Btdi Jv, LLP | Physiological Laboratory | 712 N Washington Ave Ste 102, Dallas, TX 75246-2604 | 2020-10-21 |
1194334144 | Sonji M Blanchard | Physiological Laboratory | 8553 N Beach St Ste 224, Fort Worth, TX 76244-4919 | 2020-07-27 |
1639797863 | Lab Testing Near Me LLC | Physiological Laboratory | 2706 Wind Point Ct, Tolar, TX 76476-5077 | 2020-07-14 |
1871121004 | St. Anthony's Diagnostic Pllc | Physiological Laboratory | 3931 Joe Ramsey Blvd E Ste A, Greenville, TX 75401-7777 | 2020-04-01 |
1033746540 | Enovatemed Solutions, LLC | Physiological Laboratory | 18006 Hillcrest Rd, Dallas, TX 75252-5862 | 2020-03-25 |
1437799913 | Valmar, Plc | Physiological Laboratory | 7905 Bentley Dr, North Richland Hills, TX 76182-7683 | 2020-01-13 |
1205475829 | Intraoperative Neuro Professionals | Physiological Laboratory | 25 Highland Park Vlg # 100-470, Dallas, TX 75205-2789 | 2019-12-30 |
1437797610 | Guard Healthcare Systems LLC | Physiological Laboratory | 2261 Brookhollow Plaza Dr Ste 307, Arlington, TX 76006-7430 | 2019-12-18 |
1932745940 | Magdouhealth LLC | Physiological Laboratory | 205 N Green St, Grand Saline, TX 75140-1829 | 2019-11-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.