Provider Demographics
NPI:1154671212
Name:ALEX B NAJERA MD PS
Entity type:Organization
Organization Name:ALEX B NAJERA MD PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:B
Authorized Official - Last Name:NAJERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-544-2156
Mailing Address - Street 1:1620 N ROAD 44
Mailing Address - Street 2:
Mailing Address - City:PASCO
Mailing Address - State:WA
Mailing Address - Zip Code:99301-2667
Mailing Address - Country:US
Mailing Address - Phone:509-544-2156
Mailing Address - Fax:509-544-2158
Practice Address - Street 1:1620 N ROAD 44
Practice Address - Street 2:
Practice Address - City:PASCO
Practice Address - State:WA
Practice Address - Zip Code:99301-2667
Practice Address - Country:US
Practice Address - Phone:509-544-2156
Practice Address - Fax:509-544-2158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty