# ALEXIS MAGUIN FENTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891802880
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | L1571 | TX | — |
| 207RC0000X | Cardiovascular Disease Physician | TP339 | KY | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | L1571 | TX | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | MD2018-0640 | NM | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | TP339 | KY | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 04/11/2019
