Individual provider · Type 1 NPI

Alissa Bolek Spade, PA-C

Physician Assistant · Austin, TX

NPI number 1073109864 Active

Practice location

11673 Jollyville Rd Ste 205
Austin, TX 78759-4211

Call (512) 834-9999 Map

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	PA13956 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073109864

Alissa Bolek Spade, PA-C's National Provider Identifier is 1073109864, issued on Dec 15, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Austin, TX. The record was last updated on Jan 5, 2026.