Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexis Re Anello, CST, CSFA, LSA

Individual provider Surgical Assistant · NPI 1689189870

Alexis Re Anello, CST, CSFA, LSA is a Surgical Assistant in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2017
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Practice location Address checks out

4875 Kennedale New Hope Rd
Fort Worth, TX 76140-7813
Phone: (940) 390-1463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00648 (TX)

Record details

NPI number1689189870
Entity typeIndividual (Type 1)
GenderFemale
Credentials CST , CSFA , LSA
Sole proprietorYes
NPI enumeratedDecember 9, 2017
Last updated in NPPESOctober 11, 2018

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