Most Relevant Information
Provider Data
| NPI Number: | 1003060617 |
| Provider Name: | AMANDA K STOCKMAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 738453 |
Most Important Dates
| Enumeration Date: | 11/10/2008 |
| Last Updated: | 11/10/2008 |
Provider Practice Location
1709 GRASSY VIEW DR
FORT WORTH
TX
761777555
Practice Location Phone/Fax
| Phone: | 8178085876 |
| Fax: |
Provider Mailing Location
1709 GRASSY VIEW DR
FORT WORTH
TX
761777555
Provider Mailing Phone/Fax
| Phone: | 8178085876 |
| Fax: |