Individual
DR. AMANDA PARKER NYLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17500 W GRAND PKWY S, SUGAR LAND, TX 77479-2562
(281) 725-5150
(281) 725-5611
Mailing address
1211 HIGHWAY 6, SUITE 1, SUGAR LAND, TX 77478-4941
(281) 494-4832
(281) 494-7399
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M0519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173740501
—
TX
05
—
173740504
—
TX
05
—
173740505
—
TX
01
—
8R8311
BCBS
TX
Enumeration date
08/19/2005
Last updated
11/26/2008
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