Individual
ALEXIS LACHE UPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 BRENTWOOD STAIR RD STE 404, FORT WORTH, TX 76103-1731
(817) 492-9383
Mailing address
4801 BRENTWOOD STAIR RD STE 404, FORT WORTH, TX 76103-1731
(817) 492-9383
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1009009
TX
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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