Individual
ALEXIS RE ANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST, CSFA, LSA
Contact information
Practice address
4875 KENNEDALE NEW HOPE RD, FORT WORTH, TX 76140-7813
(940) 390-1463
Mailing address
4875 KENNEDALE NEW HOPE RD, FORT WORTH, TX 76140-7813
(940) 390-1463
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00648
TX
Other
Enumeration date
12/09/2017
Last updated
10/11/2018
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