Individual
ALEXANDER P. VILAYTHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1650 W MAGNOLIA AVE, SUITE 207, FORT WORTH, TX 76104-4009
(817) 926-2544
Mailing address
1650 W MAGNOLIA AVE, SUITE 207, FORT WORTH, TX 76104-4009
(817) 912-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7760
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286104901
—
TX
05
—
286104902
—
TX
Enumeration date
06/11/2008
Last updated
02/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us