ALEXA D PHILIPOSE


Address: 801 Matlock Rd, Mansfield, TX 76063-9174
Phone: 8173478400

ALEXA D PHILIPOSE (NPI# 1326528993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326528993
Entity Type Individual
Full Name ALEXA D PHILIPOSE
Credential PA
Practice Address 801 Matlock Rd
Mansfield
TX 76063-9174
Mailing Address Po Box 99213
Fort Worth
TX 76199-0213
Practice Telephone 8173478400
Practice Fax Number 8173478495
Mailing Telephone 6828851860
Mailing Fax Number 6828851396
Enumeration Date 2018-08-14
Last Update Date 2019-10-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA12130 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 801 MATLOCK RD
City MANSFIELD
State TX
Zip Code 76063-9174

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629270269 Brenda Newell Registered Nurse 801 Matlock Rd, Mansfield, TX 76063-9174 2007-06-05
1649782046 Melissa Ann Hataway Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2017-10-25
1407231285 Elizabeth A Busch Physician Assistant 801 Matlock Rd, Mansfield, TX 76063 2015-07-22
1003235672 Lacy Pitchford Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1750700324 Stephanie Segelstrom Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063 2014-04-10
1659797611 Christie Lea Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2014-03-13
1326479684 Cook Children's Medical Center Clinic/Center 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1962833228 Cook Children's Medical Center Pediatrics 801 Matlock Rd, Mansfield, TX 76063-9174 2013-12-11
1841564945 Anna C Alonzo Nurse Practitioner 801 Matlock Rd, Mansfield, TX 76063-9174 2012-03-07
1912227091 Nathalie Davila Family Medicine 801 Matlock Rd, Mansfield, TX 76063-9174 2010-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316558349 Lindsey Vandyke, D.o. Pllc Internal Medicine 3150 E Broad Street, Ste 100, Mansfield, TX 76063 2020-08-13
1942819867 Jennifer Que Chau Nguyen Pharmacist 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 2020-07-27
1194346890 Ana Maria Gonzalez Dentist 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 2020-05-04
1245869080 Stateserv Medical of Texas, LLC Durable Medical Equipment & Medical Supplies 7941 Rodeo Trail, Mansfield, TX 76063 2020-04-03
1649802232 Mary Puanani Kamai Nurse Practitioner 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 2020-02-11
1770123028 Gladys Vera Nfodzo Nurse Practitioner 901 W. Broad St, Mansfield, TX 76063 2020-01-14
1669011300 Alexa Smith Nurse Practitioner 2800 E Broad St #304, Mansfield, TX 76063 2019-12-28
1477190437 Mel Rockwall LLC Optometrist 1701 East Broad Street, Ste 109, Mansfield, TX 76063 2019-12-09
1376185512 Daniel Max & Marcandrea LLC Optometrist 1701 East Broad St., Ste 109, Mansfield, TX 76063 2019-10-09
1861046385 Lacey Eaton Counselor 805 Killian Dr, Mansfield, TX 76063 2019-08-01
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710297155 Kara Leigh Kehoe Physician Assistant 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 2010-10-19
1366558520 Rita Roantree Foley Physician Assistant 770 Balgreen Dr Ste 101, Mansfield, OH 44906-4106 2006-08-21
1407460165 Andrea Joyce Lankester Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2020-09-01
1396384434 Lauren Colleen Bates Physician Assistant 370 Cline Ave, Mansfield, OH 44907-1057 2020-01-06
1881231637 Okechukwu Aniagoh Physician Assistant 305 Regency Pkwy Ste 405, Mansfield, TX 76063-5169 2019-11-27
1144862566 Marissa Catherine Lacey Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2019-10-17
1932671211 Joseph Kleinmann Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2018-12-26
1881164010 Mid-ohio Emergency Group, LLC Physician Assistant 335 Glessner Ave, Mansfield, OH 44903-2269 2018-11-30
1073091245 Joshua Dewayne Wright Physician Assistant 2975 E Broad St Ste 200, Mansfield, TX 76063 2018-07-31
1598288185 Nicole Marie Wurstle Physician Assistant 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 2017-07-25
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Competitor

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City MANSFIELD
Zip Code 76063

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Dataset Information

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.

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