Individual
AMANDA L INGALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3311 PRESCOTT RD, SUITE 410, ALEXANDRIA, LA 71301-3900
(318) 442-2400
(318) 442-2427
Mailing address
919 HIDDEN RDG, IRVING, TX 75038-3813
(469) 282-2713
(469) 282-0996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.201021
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1071978
—
LA
Enumeration date
05/24/2007
Last updated
01/16/2017
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