AMANDA WILDER LARK

FLOWER MOUND, TX
NPI1841478302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03432)
Enumeration Date2008-02-07
Last Update Date2018-10-03
Business Address
AMANDA WILDER LARK MPAS, PA-C
4471 LONG PRAIRIE RD # 100
FLOWER MOUND, TX 75028
Phone number: 972-362-0956
Mailing Address
AMANDA WILDER LARK MPAS, PA-C
4471 LONG PRAIRIE RD # 100
FLOWER MOUND, TX 75028-1795
Phone number: 972-362-0956
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