Basic Information
| Provider Information | |||||||||
| NPI: | 1487717823 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GOLDMAN | ||||||||
| FirstName: | ALEXANDRA | ||||||||
| MiddleName: | JENNIFER | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | EMERY-COHEN | ||||||||
| OtherFirstName: | ALEXANDRA | ||||||||
| OtherMiddleName: | JENNIFER | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 813 CAMELOT CT | ||||||||
| Address2: | |||||||||
| City: | HIGHLAND VILLAGE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750771831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052356625 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 328 W MAIN ST | ||||||||
| Address2: | |||||||||
| City: | LEWISVILLE | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750573866 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724367557 | ||||||||
| FaxNumber: | 9722218246 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2006 | ||||||||
| LastUpdateDate: | 06/16/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | TRN10193 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | N6316 | TX | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.