Individual
ALEXIS VAN PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3500 CAMP BOWIE BLVD, FORT WORTH, TX 76107-2644
(817) 735-2000
Mailing address
900 CINEMA DR APT 2329, HUDSON OAKS, TX 76087-2251
(918) 645-7054
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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