Basic Information
Provider Information
NPI: 1922398312
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALLAN
FirstName: ALEXANDRA
MiddleName: KATHLEEN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1215 21ST AVENUE SOUTH
Address2: MEDICAL CENTER EAST, SUITE 4200
City: NASHVILLE
State: TN
PostalCode: 37232
CountryCode: US
TelephoneNumber: 6159360100
FaxNumber:  
Practice Location
Address1: 1801 INWOOD ROAD
Address2:  
City: DALLAS
State: TX
PostalCode: 753900014
CountryCode: US
TelephoneNumber: 2146451482
FaxNumber: 2146453301
Other Information
ProviderEnumerationDate: 04/19/2011
LastUpdateDate: 12/04/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XR3285TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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