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Individual

AMANDA JAGOLINO-COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6410 FANNIN ST STE 1014, HOUSTON, TX 77030-5301
(719) 500-7087
Mailing address
6431 FANNIN ST, MSB 7.125, HOUSTON, TX 77030-1501

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Q0770
TX
2084V0102X
Vascular Neurology Physician
Primary
Q0770
TX

Other

Enumeration date
04/11/2010
Last updated
10/11/2018
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