Individual
AMANDA CHRISTINE HALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12200 RENFERT WAY, STE 100, AUSTIN, TX 78758
(512) 451-8211
Mailing address
2401 S 31ST ST, DEPT OF OBSTETRICS AND GYNECOLOGY, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BP10057655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S5177
MEDICAL LICENSE
TX
Enumeration date
05/19/2016
Last updated
06/22/2020
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