MS. Amber Anise Mick, P.A

NPI #1700971074 in Bryan, Texas

Provider Information

NPI Number: 1700971074
Entity Type: Individual
Name: MS. Amber Anise Mick, P.A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A
Enumeration Date: Oct 4, 2006
Last Updated: Mar 15, 2012

Practice Location

Address: 3201 UNIVERSITY DR. E
Address 2: STE 205
City: Bryan
State: Texas
ZIP Code: 77802-3482
Phone: (979) 774-7896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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