Provider Demographics
NPI:1538370036
Name:ARREDONDO, ALYSSA BRIANNA (PAC)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:BRIANNA
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
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Mailing Address - Street 1:5929 BALCONES DR STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4280
Mailing Address - Country:US
Mailing Address - Phone:512-550-1800
Mailing Address - Fax:855-828-0878
Practice Address - Street 1:115 N LOOP 1604 E
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1398
Practice Address - Country:US
Practice Address - Phone:210-446-0418
Practice Address - Fax:855-828-0878
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04703363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant