Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ALYSSA LEA BLACK, COTA
ActiveMRS. ALYSSA LEA BLACK, COTA is a Community Health Worker healthcare provider located in CEDAR PARK, Texas. NPI 1417322611 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · CEDAR PARK, TX
Registration Details
- NPI Number
- 1417322611
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 14, 2015 (10.6710984533 yrs)
- Last Updated
- Dec 14, 2015
- License
-
209841 (TX)
Practice Information
- Address
-
2200 S LAKELINE BLVDCEDAR PARK, TX, 786134567Browse TX providers · Browse ZIP 78613
- Phone
- 5122190200
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in CEDAR PARK, TX
| Name | Credential | NPI |
|---|---|---|
| NADENE JANTZ | — | 1871250506 |
| ALLISON TEAL MCCLAIN | — | 1801676242 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.