Provider Demographics
NPI:1801638382
Name:CRUZ, ALEXANDER ISAAC (MED LPC - A)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:ISAAC
Last Name:CRUZ
Suffix:
Gender:M
Credentials:MED LPC - A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10919 WEST RD APT 325
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-7207
Mailing Address - Country:US
Mailing Address - Phone:832-263-2049
Mailing Address - Fax:
Practice Address - Street 1:3 SUGAR CREEK CENTER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2211
Practice Address - Country:US
Practice Address - Phone:832-930-2716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95189101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health