Individual
ALISSA SOBIERAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2202 US HIGHWAY 380 STE 112, BRIDGEPORT, TX 76426-2177
(940) 683-2338
(940) 683-2394
Mailing address
PO BOX 2078, DECATUR, TX 76234-6156
(940) 683-2338
(940) 683-2394
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298221701
—
TX
01
—
8N0296
BCBSTX
TX
Enumeration date
09/16/2006
Last updated
01/26/2023
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