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Mr. Alexander Lee Pendergrass, FNP-C
Family Nurse Practitioner in Bridgeport, Texas
NPI 1982212841

Alexander Lee Pendergrass is a Family Nurse Practitioner based in Fort Worth, TX and is specialized in Family. Alexander Lee Pendergrass practices in Bridgeport, TX and has the professional credentials of FNP-C. The NPI Number for Alexander Lee Pendergrass is 1982212841 and holds a License No. 1003207 (Texas).

The current practice location address for Alexander Lee Pendergrass is 808 Woodrow Wilson Ray Cir, Bridgeport, TX and can be reached out via phone at 817-966-2960.

Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX, 76116-0830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982212841
Provider Name
Alexander Lee Pendergrass
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
808 Woodrow Wilson Ray Cir, Bridgeport, TX, 76116-0830
Phone Number
817-966-2960
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
808 Woodrow Wilson Ray Cir
City
Bridgeport
State
Texas
Zip
76426-2061
Phone Number
817-966-2960
Fax Number
person
Provider Business Mailing Address Details
Address
808 Woodrow Wilson Ray Cir
City
Bridgeport
State
Texas
Zip
76426-2061
Phone Number
817-966-2960
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1003207 (Texas)
Definition
Definition to come...
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