Provider Demographics
NPI:1225835606
Name:PEGUES, ALEXIS DANSHELLE (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:DANSHELLE
Last Name:PEGUES
Suffix:
Gender:
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:501 E COLLEGE ST APT 3412
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-4230
Mailing Address - Country:US
Mailing Address - Phone:901-618-5475
Mailing Address - Fax:
Practice Address - Street 1:5040 ADDISON CIR STE 400
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6049
Practice Address - Country:US
Practice Address - Phone:214-983-0303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant