Individual
AMANDA D MADISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4512 RALPH LN, DALLAS, TX 75227-1845
(972) 243-7903
(972) 243-7905
Mailing address
2941 TIMBER CREEK TRL, FORT WORTH, TX 76118-7321
(469) 450-2243
(469) 621-4549
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP125963
TX
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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