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Individual

AMANDA A GUJRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP-BC

Contact information

Practice address
15655 CYPRESS WOOD MEDICAL DR STE 100, HOUSTON, TX 77014-1487
(713) 442-1700
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
841553
TX
363L00000X
Nurse Practitioner
Primary
1008679
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
418496201
TX
Enumeration date
09/25/2019
Last updated
06/08/2021
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