Provider Demographics
NPI:1912708272
Name:ESZTERHAS, ALYSSA ALEXANDRA (MD)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ALEXANDRA
Last Name:ESZTERHAS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:ALEXANDRA
Other - Last Name:GRISMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2401 S 31ST ST # 11AG062
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76508-0001
Mailing Address - Country:US
Mailing Address - Phone:254-724-5815
Mailing Address - Fax:
Practice Address - Street 1:2401 S 31ST ST # 11AG062
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76508-0001
Practice Address - Country:US
Practice Address - Phone:254-724-5815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-22
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program