Individual
AMANDA BONE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
911 W 38TH ST, SUITE 202, AUSTIN, TX 78705-1188
(512) 324-8670
Mailing address
1601 RIO GRANDE ST, SUITE 340, AUSTIN, TX 78701-1137
(512) 324-8960
(512) 324-8962
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M2498
TX
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
M2498
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191148905
—
TX
05
—
191148906
—
TX
Enumeration date
04/30/2007
Last updated
09/10/2014
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