Lucius Hodge Alexander Jr

NPI 1043374267 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1043374267
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 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
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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.