Provider Demographics
NPI:1861053282
Name:WARD, ALEXANDRA LANGLEY
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LANGLEY
Last Name:WARD
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 1:1021 FILMORE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75025-2505
Mailing Address - Country:US
Mailing Address - Phone:214-577-8029
Mailing Address - Fax:
Practice Address - Street 1:1021 FILMORE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75025-2505
Practice Address - Country:US
Practice Address - Phone:214-577-8029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer