Individual
AMANDA MICHELLE BISCHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(915) 742-1107
Mailing address
11335 SSG SIMS ST, FORT BLISS, TX 79918-8033
(915) 742-1107
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
84325
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
04/15/2026
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