Individual
ALEXIS MARIE ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
6100 WESTERN PL STE 908, FORT WORTH, TX 76107-4600
(817) 751-7802
(847) 859-5885
Mailing address
175 E HAWTHORN PKWY STE 235, VERNON HILLS, IL 60061-1454
(847) 737-8768
(847) 859-5885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86045
TX
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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