Provider Demographics
NPI:1003365206
Name:ROBBINS,, ALISSA NICOLE (PA-C)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:NICOLE
Last Name:ROBBINS,
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9819 HUEBNER RD STE 113
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-3253
Mailing Address - Country:US
Mailing Address - Phone:210-692-0101
Mailing Address - Fax:210-692-7615
Practice Address - Street 1:9819 HUEBNER RD STE 113
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-3253
Practice Address - Country:US
Practice Address - Phone:210-692-0101
Practice Address - Fax:210-692-7615
Is Sole Proprietor?:No
Enumeration Date:2016-09-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA10738363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant