Provider Demographics
NPI:1841997780
Name:NEZIANYA, ALEXANDRIA IFEOMA (PA-C)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:IFEOMA
Last Name:NEZIANYA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 PRESTON RD STE 1200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0238
Mailing Address - Country:US
Mailing Address - Phone:469-303-3000
Mailing Address - Fax:469-303-4510
Practice Address - Street 1:7211 PRESTON RD STE 1200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0238
Practice Address - Country:US
Practice Address - Phone:469-303-3000
Practice Address - Fax:469-303-4510
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA16490363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical