Spade, Alissa Bolek

Spade, Alissa Bolek is an sole proprietor health care provider with primary practice located at 11673 Jollyville Rd Ste 205 , Austin TX 78759-4211. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Spade, Alissa Bolek can be contacted via phone (512) 834-9999.

Contact Information

Primary practice address
11673 Jollyville Rd Ste 205 Austin TX 78759-4211
Phone: (512) 834-9999
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X PA13956 Texas
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X PA13956 Texas

Profile Details

NPI number 1073109864
LBN Legal business name Spade, Alissa Bolek
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2020
Last updated Dec 15th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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