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NPI Code Detail

MEDICARE: ALISSA N TOLBERT PA-C

MEDICARE: ALISSA N TOLBERT PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantTX

General Provider Information

NPI Number : 1790610137
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA N TOLBERT PA-C
Provider Business Mailing Address
First Line : 551 HILL COUNTRY DR
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6085
Country : US
Telephone Number : 830-896-6262
Fax Number : 830-896-6269
Provider Business Practice Location Address
First Line : 551 HILL COUNTRY DR
Second Line :
City : KERRVILLE
State : TX
Zip : 78028-6085
Country : US
Telephone Number : 830-896-6262
Fax Number : 830-896-6269
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2026
Last Update Date : 06/16/2026

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Directions to “ ALISSA N TOLBERT PA-C” Practice Location

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