Individual
MISS ALYSSA PORCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3430 W. WHEATLAND ROAD, POB I SUITE 104, DALLAS, TX 75237
(469) 695-2020
(469) 695-2019
Mailing address
3430 W. WHEATLAND ROAD, POB I SUITE 104, DALLAS, TX 75237
(469) 695-2020
(469) 695-2019
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17481
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/11/2022
Last updated
05/19/2026
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