ALEXANDER CHRISTIAN BLACK

KILLEEN, TX
NPI1316576044
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA15352)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TN  4585)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-04
Last Update Date2022-03-02
Business Address
ALEXANDER CHRISTIAN BLACK PA-S
2405 CLEAR CREEK RD
KILLEEN, TX 76549-5775
Phone number: 254-618-1888
Mailing Address
ALEXANDER CHRISTIAN BLACK PA-S
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: