Provider Demographics
NPI:1609298587
Name:POLLOW, ALYSSA
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:
Last Name:POLLOW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:POLLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:812 US HWY 377 STE 100
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-4557
Mailing Address - Country:US
Mailing Address - Phone:469-405-6638
Mailing Address - Fax:940-240-5517
Practice Address - Street 1:812 US HWY 377 STE 100
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-4557
Practice Address - Country:US
Practice Address - Phone:469-405-6638
Practice Address - Fax:940-240-5517
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5578-33363LP0200X
TX1130547363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics