Allensworth, Amanda Gayle
Allensworth, Amanda Gayle is an individual health care provider with primary practice located at 4100 Everett Dr Ste 400 , Kyle TX 78640-6147. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Allensworth, Amanda Gayle can be contacted via phone (512) 504-5186.Contact Information
Primary practice address
4100 Everett Dr Ste 400
Kyle TX 78640-6147
Phone: (512) 504-5186
Fax: (512) 504-5536
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P3112 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1841420916 |
|---|---|
| LBN Legal business name | Allensworth, Amanda Gayle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2009 |
| Last updated | Jun 28th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841420916 | NPPES |
| Texas | MEDICAID | 303142902 | |
| Texas | MEDICAID | 303142903 | |
| Texas | MEDICAID | 303142901 | |
| Texas | MEDICAID | 303142904 |
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