Individual
AMENA SHAHABUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 215-4600
(915) 545-7338
Mailing address
726 CIMARRON TRL, IRVING, TX 75063-4405
(972) 839-7244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA11950
TX
Other
Enumeration date
04/13/2018
Last updated
08/14/2019
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