Individual
AMY CARRILLO ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508
Mailing address
902 W RANDOL MILL RD STE 120, ARLINGTON, TX 76012-2579
(817) 801-1503
(817) 801-1508
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA12983
TX
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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