Individual
ALYSSA ILG HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3131 TURTLE CREEK BLVD STE 600, DALLAS, TX 75219-5435
(972) 400-2866
Mailing address
3131 TURTLE CREEK BLVD STE 600, DALLAS, TX 75219-5435
(972) 400-2866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8588
GA
363A00000X
Physician Assistant
Primary
PA13008
TX
Other
Enumeration date
11/07/2017
Last updated
08/27/2021
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