Individual
ALEXIS TO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7995 BELLFORT ST, HOUSTON, TX 77061-1960
(713) 641-6247
Mailing address
7995 BELLFORT ST, HOUSTON, TX 77061-1960
(713) 641-6247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
39511
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
02/20/2023
Last updated
07/15/2024
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