Individual
ALYSSA V BENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 W BEN WHITE BLVD, AUSTIN, TX 78704-6903
(512) 447-2211
Mailing address
4705 LAVENDER FIELD PATH, AUSTIN, TX 78723-6071
(856) 723-6443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19202
TX
363AM0700X
Medical Physician Assistant
PA19202
TX
Other
Enumeration date
12/04/2024
Last updated
07/21/2025
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