Provider Demographics
NPI:1104813609
Name:ALEXANDER, HAROLD E JR (MD)
Entity type:Individual
Prefix:
First Name:HAROLD
Middle Name:E
Last Name:ALEXANDER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:205 W BOUTZ RD
Mailing Address - Street 2:BLDG 1
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-3259
Mailing Address - Country:US
Mailing Address - Phone:575-532-7000
Mailing Address - Fax:575-532-7006
Practice Address - Street 1:741 N ALAMEDA BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-2172
Practice Address - Country:US
Practice Address - Phone:575-522-0399
Practice Address - Fax:575-522-1866
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2010-11-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM84-32084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM33985Medicaid
NM33985Medicaid