Amanda Marie Teblunthuis
Family Medicine in Austin, TX. Individual provider (NPI-1).
NPI number1962030486
StatusActive
Last updated in NPPESMar 14, 2025
Details
- NPI
- 1962030486
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marie Teblunthuis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2020
- Certification date
- Mar 14, 2025
- Last updated
- Mar 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | V2292 | TX | Yes |
| 207Q00000X | Family Medicine | ML.61063160 | WA |
Other names
- Amanda Marie Blunt (Former Name)
Practice location
1900 Aldrich St Ste 150Austin, TX 78723-3597
Phone 888-663-6331 · Fax 415-252-7176
Mailing address
1900 Aldrich St Ste 150Austin, TX 78723-3597
Phone 888-663-6331
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