Provider Demographics
NPI:1700750932
Name:ACKEY, ALEXCIA KANICE
Entity type:Individual
Prefix:
First Name:ALEXCIA
Middle Name:KANICE
Last Name:ACKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 WINDMILL CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:OVALO
Mailing Address - State:TX
Mailing Address - Zip Code:79541-1100
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1819 JAY ELL DR STE 100
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2064
Practice Address - Country:US
Practice Address - Phone:888-344-2947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246ZE0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic