Individual
DR. AMANDA HARTMAN GAVALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2423 WILLIAMS DR STE 113, GEORGETOWN, TX 78628-3269
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
U2217
TX
390200000X
Student in an Organized Health Care Education/Training Program
U2217
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/02/2020
Last updated
08/11/2025
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