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Individual

AMANDA GAYLE ALLENSWORTH

Active
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Individual

AMANDA GAYLE ALLENSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
P3112
TX
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303142901
TX
05
303142902
TX
05
303142903
TX
05
303142904
TX
Enumeration date
07/22/2009
Last updated
06/28/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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