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Alexandra Marie Viso
General Practice Physician in Jbsa Lackland, Texas
NPI 1699351064

Alexandra Marie Viso is a General Practice Physician based in Jbsa Lackland, TX. Alexandra Marie Viso practices in Jbsa Lackland, TX. The NPI Number for Alexandra Marie Viso is 1699351064 and holds a License No. 0101277085 (Texas).

The current practice location address for Alexandra Marie Viso is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX and can be reached out via phone at 210-916-9928 and via fax at 210-916-9332.

Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699351064
Provider Name
Alexandra Marie Viso
Credential
Provider Entity Type
Individual
Gender
Female
Address
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX, 78236-5638
Phone Number
210-916-9928
Fax Number
210-916-9332
Provider Enumeration Date
03/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-916-9928
Fax Number
210-916-9332
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-916-9928
Fax Number
210-916-9332
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0101277085 (Virginia)
Definition
Definition to come...
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