Individual provider · Type 1 NPI

Mandi Glynn Amburn, PA-C

Surgical Physician Assistant · Austin, TX

NPI number 1780787986 Active

Practice location

2200 Park Bend Dr, Building 1 Suite 301
Austin, TX 78758-5387

Call (512) 339-0440 Map

Fax (512) 339-0454

Mailing address

2200 Park Bend Dr Bldg 1, Suite 301
Austin, TX 78758-5387

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10227 (MN)
Surgical Physician Assistant Primary 363AS0400XPA04670 (TX)

Surgical Physician Assistant: Definition to come...

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About NPI 1780787986

Mandi Glynn Amburn, PA-C's National Provider Identifier is 1780787986, issued on Sep 6, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Austin, TX. The record was last updated on Jan 26, 2022.