Provider Demographics
NPI:1538507611
Name:SIBLEY, ALEXANDRA A (MD)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:A
Last Name:SIBLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12540 SUGARDALE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3702
Mailing Address - Country:US
Mailing Address - Phone:713-814-3655
Mailing Address - Fax:
Practice Address - Street 1:12540 SUGARDALE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3702
Practice Address - Country:US
Practice Address - Phone:601-815-1368
Practice Address - Fax:601-984-5885
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-34312084P0800X
TXT06262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry