Mary Amanda Theiss
NPI #1215536586 in Fair Oaks Ranch, Texas
Provider Information
- NPI Number
- 1215536586
- Entity Type
- Individual
- Name
- Mary Amanda Theiss
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 19, 2020
- Last Updated
- May 23, 2024
Practice Location
- Address
- 8434 RAINTREE WOODS DR
- City
- Fair Oaks Ranch
- State
- Texas
- ZIP Code
- 78015-4437
- Phone
- (318) 376-3819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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