Individual
AMANDA SUZANNE ANUENUE MUCK
Active
Individual
AMANDA SUZANNE ANUENUE MUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA15075
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15075
TEXAS MEDICAL BOARD
TX
Enumeration date
10/28/2021
Last updated
10/28/2021
Update your record
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