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Individual

AMANDA MAGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10407 W FAIRMONT PKWY STE B, LA PORTE, TX 77571-6018
(281) 867-0291
Mailing address
2817 KINGS RETREAT CIR, KINGWOOD, TX 77345-5603
(918) 776-7187

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1020097
TX

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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