Doctor Name: | DR. ALEXANDER THOMAS PARAS |
NPI Number: | 1447687132 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 20A12913 |
Business Practice Address: | 602 Looking Glass Ave Offutt Afb, NE - 681133112 |
Business Phone Number: | 4022949034 |
Business Fax Number: | |
Mailing Address: | 11516 Maass Rd, Apt 301 BELLEVUE |
State: | NE |
Postal Code: | 681236038 |
Phone Number: | 6193950768 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 20A12913 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |