| NPI Details | |
|---|---|
| NPI | 1043374267 |
| Enumeration Date | 12/21/2006 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | LUCIUS HODGE LUCIUS |
| Position | CEO PRESIDENT |
| Phone | (512) 382-9798 |
| Fax | (512) 382-9798 |
| Practice Location | |
|---|---|
| 16203 BRAESGATE DR AUSTIN TX, 78717-4850, US |
|
| Phone | (512) 382-9798 |
| Fax | (512) 382-9798 |
| Business Location | |
|---|---|
| 16203 BRAESGATE DR AUSTIN TX, 78717-4850, US |
|
| Phone | (512) 382-9798 |
| Fax | (512) 382-9798 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 320900000X |
| License State | |
| License Number | |
| Remove 1043374267 NPI Number | |
According to our database, Lucius Hodge Alexander Jr NPI is 1043374267, taxonomy code is 320900000X Lucius Hodge Alexander Jr physically located at 16203 Braesgate Dr, Austin TX, 78717-4850. NPI Number 1033115704 has the healthcare provider type.
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1043374267 NPI number is provided on an as is basis without warranty of any kind. 1043374267 is maintained by the National Plan & Provider Enumeration System. The contents of Lucius Hodge Alexander Jr are for informational purposes only.
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