Individual
AMANDA SKILLERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
715 W 34TH ST, AUSTIN, TX 78705-1223
(512) 956-5006
Mailing address
1601 FRUITVALE AVE, OAKLAND, CA 94601-2418
(510) 535-4000
(510) 535-4128
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
N6672
TX
Other
Enumeration date
08/19/2010
Last updated
08/04/2020
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