Most Relevant Information
Provider Data
| NPI Number: | 1003366386 |
| Provider Name: | AMANDA HOLBERT |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 38341 |
Most Important Dates
| Enumeration Date: | 10/10/2016 |
| Last Updated: | 10/10/2016 |
Provider Practice Location
87 INTERSTATE 10 N
SUITE 225
BEAUMONT
TX
777072544
Practice Location Phone/Fax
| Phone: | 4098350228 |
| Fax: | 4098350151 |
Provider Mailing Location
87 INTERSTATE 10 N
SUITE 225
BEAUMONT
TX
777072544
Provider Mailing Phone/Fax
| Phone: | 4098350228 |
| Fax: | 4098350151 |