Mandi Glynn Amburn is a Surgical in Austin, Texas. Mandi Glynn Amburn practices all healthcare services and medical treatments related to Surgical. The NPI Number for Mandi Glynn Amburn is 1780787986. The last update date is 2022-01-26.
Mandi Glynn Amburn's current location address is 2200 Park Bend Dr, Austin, Texas. You can contact this provider via phone number 5123390440 and fax number 5123390454. The mailing address for Mandi Glynn Amburn is 2200 Park Bend Dr, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mandi Glynn Amburn |
|---|---|
| Address | 2200 Park Bend Dr, Austin, Texas |
| Phone Number | 5123390440 |
| Fax Number | 5123390454 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1780787986 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2022-01-26 |
Provider Mailing Address Detail
| Address | 2200 Park Bend Dr |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 787585387 |
| Phone Number | 5123390440 |
| Fax Number | 5123390454 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | PA04670 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00408065 | MN | RAILROAD MEDICARE | |
| 8N9216 | TX | BLUE CROSS | |
| 517690000 | MN | -- |
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What is the Mandi Glynn Amburn's 1780787986?
The Mandi Glynn Amburn's NPI (National Provider Identifier) Number is 1780787986. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Mandi Glynn Amburn by the Centers for Medicare & Medicaid Services (CMS)?
The Mandi Glynn Amburn has been assigned the NPI (National Provider Identifier) 1780787986. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
On what date did the Centers for Medicare & Medicaid Services issue the 1780787986 to Mandi Glynn Amburn?
The Mandi Glynn Amburn received its 1780787986 assignment from the Centers for Medicare & Medicaid Services on 2006-09-06.
When was the Mandi Glynn Amburn's information last updated?
The Mandi Glynn Amburn's information was last updated on 2022-01-26.
When was the information pertaining to Mandi Glynn Amburn most recently updated or revised?
The details related to Mandi Glynn Amburn, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-26.