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Individual

MS. AMANDA M RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
(832) 869-4853
Mailing address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
(832) 869-4853

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP141061
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4276057-01
TX
Enumeration date
04/12/2019
Last updated
01/29/2025
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