Individual provider · Type 1 NPI

Alexis Cruz, MD

Adult Medicine Physician · Halethorpe, MD

NPI number 1194306639 Active

Practice location

3541 Washington Blvd
Halethorpe, MD 21227-1622

Mailing address

3541 Washington Blvd Ste 110
Halethorpe, MD 21227-1623

Other practice locations

  • 605 S Conroe Medical Dr, Conroe, TX 77304-4722 · (936) 539-4004

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XBP10074825 (TX)
Adult Medicine Physician Primary 207QA0505XD0098412 (MD)
Family Medicine Physician 207Q00000XU2182 (TX)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1194306639

Alexis Cruz, MD's National Provider Identifier is 1194306639, issued on Apr 16, 2021. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Halethorpe, MD. The record was last updated on Sep 13, 2024.