Healthcare Provider Details

I. General information

NPI: 1225902729
Provider Name (Legal Business Name): ALEXIS DAO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 ROAD TO SIX FLAGS W STE 146
ARLINGTON TX
76012-2600
US

IV. Provider business mailing address

447 N MAIN ST APT 2223
FORT WORTH TX
76164-9501
US

V. Phone/Fax

Practice location:
  • Phone: 817-887-8182
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA19431
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: