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Individual

ALISSA BOLEK SPADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
11673 JOLLYVILLE RD STE 205, AUSTIN, TX 78759-4211
(512) 834-9999
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13956
TX

Other

Enumeration date
12/15/2020
Last updated
01/05/2026
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