Provider Demographics
NPI:1457794869
Name:AMRO, AMNEH JAMAL (PA-C)
Entity type:Individual
Prefix:
First Name:AMNEH
Middle Name:JAMAL
Last Name:AMRO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6801 S IH 35
Mailing Address - Street 2:SUITE 1-E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78744-4824
Mailing Address - Country:US
Mailing Address - Phone:512-978-9960
Mailing Address - Fax:512-901-9746
Practice Address - Street 1:6801 S IH 35 STE 1-E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78744-4824
Practice Address - Country:US
Practice Address - Phone:512-978-9960
Practice Address - Fax:512-901-9746
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08313363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical