| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDRIA LAUREN CHAULK | 1275037889 | 2022-08-07 |
Alexandria Lauren Chaulk is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1275037889. Registration indicates Alexandria Lauren Chaulk is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Vision/Audiology, ) (Ophthalmology Retina Specialist, Allopathic & Osteopathic Physicians) (Ophthalmology, )
| Entity Type | Individual |
| Provider Name | Alexandria Lauren Chaulk MD |
| Practice Office Address | 700 18TH ST S STE 707 BIRMINGHAM, AL US |
| Practice Office Telephone | 2059180047 |
| Practice Office Fax | 2059180502 |
| Mailing Address | 700 18TH ST S STE 707 BIRMINGHAM, AL 352333806 US |
| Business Telephone | 2059180047 |
| Business Fax | 2059180502 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1500 S Main St | Fort Worth, TX 761044917 | 8177021173 |
| 6400 Fannin St Fl 18 | Houston, TX 770301521 | 7135595200 / 7137957070 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207WX0107X PRIMARY | Vision/Audiology Ophthalmology Retina Specialist Allopathic & Osteopathic Physicians Ophthalmology | 43814
AL |