Wise, Amanda Tuyet-Anh

Wise, Amanda Tuyet-Anh is an individual health care provider with primary practice located at 5161 Harry Hines Blvd , Dallas TX 75235-7707. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Wise, Amanda Tuyet-Anh can be contacted via phone (214) 648-4898.

Contact Information

Primary practice address
5161 Harry Hines Blvd Dallas TX 75235-7707
Phone: (214) 648-4898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 667387 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X OL60865446 Washington
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 12925107-1204 Utah

Profile Details

NPI number 1215463161
LBN Legal business name Wise, Amanda Tuyet-Anh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Aug 7th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215463161 NPPES
Washington Other OL60865446 MEDICAL LICENSE NUMBER

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