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Individual
TONI M D'AMICO
Active
Individual
TONI M D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01953
TX
363AM0700X
Medical Physician Assistant
PA01953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1924714-05
WELLMED MEDICAID
TX
05
—
192471403
—
TX
01
—
87N867
BCBS
TX
01
—
TXB166707
WELLMED MEDICARE
TX
Enumeration date
08/15/2006
Last updated
01/17/2024
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