Individual
DR. DAN ALAN AXTHELM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7100 OAKMONT BLVD, STE 107, FORT WORTH, TX 76132-3911
(817) 764-1894
(817) 346-7545
Mailing address
7100 OAKMONT BLVD, STE 107, FORT WORTH, TX 76132-3911
(817) 764-1894
(817) 346-7545
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H3439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
POOD7434
—
TX
Enumeration date
05/04/2006
Last updated
06/05/2018
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