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:
Health care specialties
Specialty | Code | License # | 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 last year |
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 | 1215463161 | NPPES |
Washington | Other | OL60865446 | MEDICAL LICENSE NUMBER |
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