Individual
AMANDA NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
815 MARKET ST, ATTN: AMANDA WHITE, GALVESTON, TX 77550-2725
(940) 765-9196
Mailing address
1810 CHURCH ST, UNIT 3, GALVESTON, TX 77550-4824
(940) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0000
TX
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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