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Individual

ALEX FITZHUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 NW RENFRO ST STE 102, BURLESON, TX 76028-4178
(817) 295-1444
Mailing address
4224 SHANNON DR, FORT WORTH, TX 76116-8044

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
4039
AR
1223E0200X
Endodontics
Primary
32866
TX

Other

Enumeration date
05/01/2017
Last updated
01/07/2021
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