Individual
MRS. AMANDA DUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 12TH AVE STE 200, FORT WORTH, TX 76104-3927
(817) 850-2000
Mailing address
PO BOX 911230, DALLAS, TX 75391
(972) 997-8000
(972) 234-0813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373995501
—
TX
Enumeration date
06/27/2017
Last updated
06/05/2023
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