Individual
AMANDA MICHELLE FERRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 COLLEGE DR STE 204, TEXARKANA, TX 75503-3575
(903) 791-1110
(903) 791-9353
Mailing address
PO BOX 1326, MARSHALL, TX 75671-1326
(903) 927-3782
(903) 927-1765
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125070520
IL
207Q00000X
Family Medicine Physician
E-13398
AR
207Q00000X
Family Medicine Physician
Primary
S8550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-13398
LICENSE
AR
01
—
S8550
STATE OF TX
TX
Enumeration date
06/02/2017
Last updated
02/01/2021
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