Individual
MISS ALYSSA PORCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3533 MATLOCK RD, ARLINGTON, TX 76015-3604
(817) 419-0303
(817) 468-5963
Mailing address
3533 MATLOCK RD, ARLINGTON, TX 76015-3604
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
01/20/2025
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