ALEX ANDALUZ

FORT WORTH, TX
NPI1871913616
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-20
Last Update Date2014-04-20
Business Address
-- ALEX ANDALUZ D.O.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: 817-702-3636
Mailing Address
-- ALEX ANDALUZ D.O.
1500 S MAIN ST
FORT WORTH, TX 76104-4917
Phone number: