Individual
AMANDA SIEWERT TCHAKAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 786-1249
Mailing address
1935 MEDICAL CENTER DRIVE, DALLAS, TX 75235-7323
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
Q0190
TX
Other
Enumeration date
07/12/2012
Last updated
07/29/2015
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