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Individual

DR. AMANDA T SCHUCK-PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
920 MEDICAL PLAZA DR STE 140, SHENANDOAH, TX 77380-3751
(713) 486-6760
(713) 486-6784
Mailing address
PO BOX 2018088, HOUSTON, TX 77216-1088
(134) 866-7607

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
P0133
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
P0133
TX

Other

Enumeration date
08/18/2009
Last updated
12/02/2020
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