Individual
AMENA RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 E PFLUGERVILLE PKWY, PFLUGERVILLE, TX 78660-8990
(512) 259-6000
(512) 259-6005
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
52104
CA
363AM0700X
Medical Physician Assistant
Primary
PA10649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52104
CALIFORNIA PA LICENSE NUMBER
CA
Enumeration date
01/27/2015
Last updated
01/20/2022
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