Provider Demographics
NPI:1730875501
Name:ALEXANDER, ABIGAIL MCKENNA (PA)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:MCKENNA
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:2961 MOSSROCK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78230-5119
Mailing Address - Country:US
Mailing Address - Phone:210-731-4800
Mailing Address - Fax:210-731-4810
Practice Address - Street 1:1248 AUSTIN HWY STE 214
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4867
Practice Address - Country:US
Practice Address - Phone:210-828-2531
Practice Address - Fax:210-828-2532
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2025-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA19377363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant