Provider Demographics
NPI:1073595989
Name:ALEXANDER, LON F (MD)
Entity type:Individual
Prefix:
First Name:LON
Middle Name:F
Last Name:ALEXANDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 CORPORATE CIR STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5641
Mailing Address - Country:US
Mailing Address - Phone:844-679-7050
Mailing Address - Fax:866-806-3740
Practice Address - Street 1:2800 CORPORATE CIR STE 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-5641
Practice Address - Country:US
Practice Address - Phone:844-679-7050
Practice Address - Fax:866-806-3740
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA056219207T00000X
MS10954207T00000X
TXV5959207T00000X, 208D00000X
CAC199733207T00000X
ALMD.50154207T00000X
LA321010207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00118703Medicaid
730-09296OtherBLUE CROSS OF AL
AL009910255Medicaid
140008223OtherRAILROAD MEDICARE
AL009910255Medicaid
MS512I140032Medicare PIN