Individual
AMMON CARL INGERSOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 PHILOMENA ST, AUSTIN, TX 78723-3574
(737) 434-2436
Mailing address
9866 N MEADOW LN, HIGHLAND, UT 84003-9142
(385) 394-9808
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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