Most Relevant Information
Provider Data
| NPI Number: | 1003547266 |
| Provider Name: | ALEXIS DE LOS SANTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2022 |
| Last Updated: | 06/20/2022 |
Provider Practice Location
1490 N BARTON ST
STEPHENVILLE
TX
764012516
Practice Location Phone/Fax
| Phone: | 2544343472 |
| Fax: |
Provider Mailing Location
1490 N BARTON ST
STEPHENVILLE
TX
764012516
Provider Mailing Phone/Fax
| Phone: | 2544343472 |
| Fax: |