Individual
DR. ALEX GUSTAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
613 PROFIT ST, AZLE, TX 76020-2421
(682) 453-7102
(817) 665-3815
Mailing address
8085 EAGLE MOUNTAIN DR, FORT WORTH, TX 76135-9151
(682) 453-7102
(817) 665-3815
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1258595
TX
Other
Enumeration date
06/23/2015
Last updated
03/12/2025
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