Individual
ALYSSA RODANICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
11521 N FM 620 RD STE 945, AUSTIN, TX 78726-1115
(512) 318-2559
(512) 782-9316
Mailing address
8300 N LAMAR BLVD STE 200A, AUSTIN, TX 78753-5976
(512) 575-9555
(512) 782-9316
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA16170
TX
Other
Enumeration date
08/10/2020
Last updated
11/05/2024
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