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MS. AMANDA MICHELLE AMMERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6811 AUSTIN CENTER BLVD STE 300, AUSTIN, TX 78731-3295
(512) 346-8888
(512) 406-7321
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08219
TX

Other

Enumeration date
03/04/2013
Last updated
10/28/2021
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