Provider Demographics
NPI:1306652623
Name:BIONDO, ALYXZANDRIA T (SM)
Entity type:Individual
Prefix:
First Name:ALYXZANDRIA
Middle Name:T
Last Name:BIONDO
Suffix:
Gender:F
Credentials:SM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1212 ANGELINA DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:TX
Mailing Address - Zip Code:75407-2851
Mailing Address - Country:US
Mailing Address - Phone:713-962-4228
Mailing Address - Fax:
Practice Address - Street 1:1212 ANGELINA DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:TX
Practice Address - Zip Code:75407-2851
Practice Address - Country:US
Practice Address - Phone:713-962-4228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty