Provider Demographics
NPI:1538106042
Name:HOLLINGSWORTH, AMANDA L (DO)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:L
Last Name:HOLLINGSWORTH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:L
Other - Last Name:BANERJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1700 N OREGON ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3584
Mailing Address - Country:US
Mailing Address - Phone:915-544-2000
Mailing Address - Fax:915-351-4334
Practice Address - Street 1:1700 N OREGON ST
Practice Address - Street 2:SUITE 530
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3584
Practice Address - Country:US
Practice Address - Phone:915-544-2000
Practice Address - Fax:915-351-4334
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1355-06207V00000X
TXN6360207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology