Provider Demographics
NPI:1003126061
Name:SPIEGEL, ALYSSA R (PA)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:R
Last Name:SPIEGEL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9101 N CENTRAL EXPY STE 160
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5951
Mailing Address - Country:US
Mailing Address - Phone:214-265-1818
Mailing Address - Fax:214-265-1806
Practice Address - Street 1:9101 N CENTRAL EXPY STE 160
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-265-1818
Practice Address - Fax:214-265-1806
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2023-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA08073363AM0700X
MDC0004335363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical