Individual
AMANDA BETHANY WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6550 FANNIN ST STE 1201, HOUSTON, TX 77030-2740
(713) 441-3372
(713) 797-0622
Mailing address
6550 FANNIN ST STE 1201, HOUSTON, TX 77030-2740
(713) 441-3372
(713) 797-0622
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08248
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344643701
—
TX
05
—
344643702
—
TX
01
—
8676NM
BLUE CROSS BLUE SHIELD
TX
01
—
PA08248
MEDICAL LICENSE
TX
Enumeration date
02/07/2013
Last updated
07/21/2022
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