Individual
ALEXA ANN POKLUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
9509 N BEACH ST STE 101, FORT WORTH, TX 76244-6399
(817) 741-4347
Mailing address
9509 N BEACH ST STE 101, FORT WORTH, TX 76244-6399
(817) 741-4347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
11/07/2022
Last updated
03/06/2023
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