Avalos, Amanda
Avalos, Amanda is an individual health care provider with primary practice located at 4405 River Oaks Blvd , Fort Worth TX 76114-2326. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Avalos, Amanda can be contacted via phone (817) 624-1770.Contact Information
Primary practice address
4405 River Oaks Blvd
Fort Worth TX 76114-2326
Phone: (817) 624-1770
Fax: (817) 625-1287
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1048716 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1048716 | Texas |
Profile Details
NPI number | 1720734494 |
---|---|
LBN Legal business name | Avalos, Amanda |
Credentials | APRN, CPNP-PC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2022 |
Last updated | May 6th, 2022 - about 2 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.
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