Provider Demographics
NPI:1871337550
Name:DUSEK, ALEXANDRA DUSEK (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA DUSEK
Middle Name:
Last Name:DUSEK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 RICHMOND AVE APT 542
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3274
Mailing Address - Country:US
Mailing Address - Phone:210-842-8438
Mailing Address - Fax:
Practice Address - Street 1:14690 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-7518
Practice Address - Country:US
Practice Address - Phone:281-531-7465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16032111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor