Provider Demographics
NPI:1205617784
Name:AICHHOLZ, ALLISON MCKENZIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MCKENZIE
Last Name:AICHHOLZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MCKENZIE
Other - Last Name:ENGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:246 WEST MARSHALL DRIVE
Mailing Address - Street 2:
Mailing Address - City:VAN ALSTYNE
Mailing Address - State:TX
Mailing Address - Zip Code:75495
Mailing Address - Country:US
Mailing Address - Phone:972-693-1000
Mailing Address - Fax:
Practice Address - Street 1:5026 POOL RD
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-2803
Practice Address - Country:US
Practice Address - Phone:903-465-3624
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA17160363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical