Doctor Name: | ALYSSA R SPIEGEL |
NPI Number: | 1003126061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | C0004335 |
Business Practice Address: | 910 N Central Expy Suite 150 Dallas, TX - 75231 |
Business Phone Number: | 2142651818 |
Business Fax Number: | 2142651806 |
Mailing Address: | 910 N Central Expy, Suite 150 DALLAS |
State: | TX |
Postal Code: | 75231 |
Phone Number: | 2142651818 |
Fax Number: | 2142651806 |
NPI Enumeration Date: | 10/08/2010 |
NPI Last Update Date: | 04/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | C0004335 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |