Individual
AMANDA RAYE CHAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4012 PRESTON RD STE 500, PLANO, TX 75093-7351
(972) 985-3638
Mailing address
3451 WESTERN CENTER BLVD, FORT WORTH, TX 76137-3101
(817) 847-0030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9717TG
TX
Other
Enumeration date
08/19/2019
Last updated
06/14/2023
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