Individual
AMANDA WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2529 S 1ST ST, AUSTIN, TX 78704-5466
(512) 978-9500
(512) 901-9708
Mailing address
2529 S 1ST ST, AUSTIN, TX 78704-5466
(512) 978-9500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301107689
MI
207Q00000X
Family Medicine Physician
Primary
S1949
TX
Other
Enumeration date
06/03/2015
Last updated
01/11/2021
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