Individual
AMNA I. DERMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 E BEN WHITE BLVD, AUSTIN, TX 78704-7301
(512) 276-8000
Mailing address
201 E BEN WHITE BLVD, AUSTIN, TX 78704-7301
(512) 276-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0101276935
VA
207VC0300X
Complex Family Planning Physician
Primary
P7267
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457417271
—
VA
Enumeration date
12/28/2006
Last updated
03/13/2023
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