Individual
AMANDA LYDIA BARRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
K7994
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0467185-02
—
TX
01
—
8G4405
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/16/2005
Last updated
11/24/2025
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