Individual
DR. ALEXA RYANNE BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1711 DOOLITTLE AVE, FORT WORTH, TX 76127-1133
(817) 782-1706
Mailing address
14953 GENTRY DR, ALEDO, TX 76008-1587
(864) 918-3651
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0101273235
VA
208D00000X
General Practice Physician
0101273235
VA
Other
Enumeration date
03/12/2020
Last updated
09/18/2024
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