Provider Demographics
NPI:1891528295
Name:GAUVEY ALEXANDER REAL ESTATE HOLDING
Entity type:Organization
Organization Name:GAUVEY ALEXANDER REAL ESTATE HOLDING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEENA
Authorized Official - Middle Name:ANNIE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-763-0182
Mailing Address - Street 1:400 S OAK ST STE 110
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6789
Mailing Address - Country:US
Mailing Address - Phone:469-763-0182
Mailing Address - Fax:
Practice Address - Street 1:400 S OAK ST STE 110
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6789
Practice Address - Country:US
Practice Address - Phone:469-763-0182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental