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Deactivated NPI 1528117892 Deactivated / Inactive NPI Male Practitioner

Glenn Edward Alexander , CPNP

Nurse Practitioner - Pediatrics • Port Arthur, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Glenn Alexander has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 09, 2007
NPI Deactivation Date February 07, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Glenn Alexander, CPNP was a registered Nurse Practitioner - Pediatrics practicing in Port Arthur, TX. Throughout an active medical career spanning 17 years, Glenn Alexander provided care at the practice location at 2128 PROCTER ST until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

2128 Procter St

Port Arthur, TX 776406752

Telephone 4099831882
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Port Arthur, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Port Arthur, TX (2253 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX 239487

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active July 21, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 21, 2015

Registered at 2128 PROCTER ST, PORT ARTHUR, TX 776406752 (Tel: 4099831882)

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Updated Business Mailing Address July 21, 2015

Registered at 2548 MEMORIAL BLVD, PORT ARTHUR, TX 776402825 (Tel: 4099831161)

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Provider Name / Credentials Updated July 21, 2015

Recorded as GLENN ALEXANDER, CPNP

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2015

Nurse Practitioner (License #239487 in TX)

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Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528117892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: July 21, 2015
Deactivation Date: February 07, 2024

Mailing Address

2548 Memorial Blvd

Port Arthur, TX 776402825

Phone: 4099831161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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