Provider Demographics
NPI:1649969478
Name:ALEXANDER, YASHICA RACHELLE
Entity type:Individual
Prefix:
First Name:YASHICA
Middle Name:RACHELLE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2831 SALT RIVER CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4856
Mailing Address - Country:US
Mailing Address - Phone:832-878-2583
Mailing Address - Fax:
Practice Address - Street 1:2526 BUSINESS CENTER DR
Practice Address - Street 2:APT 1225
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:832-878-2583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator