MEDICARE: AMANDA DANIELLE EL-HAG DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	T2859	TX

General Provider Information

NPI Number	:	1457848160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA DANIELLE EL-HAG DO

Provider Business Mailing Address
First Line	:	6201 DALLAS PKWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4181
Country	:	US
Telephone Number	:	972-403-8184
Fax Number	:	972-403-0685

Provider Business Practice Location Address
First Line	:	6201 DALLAS PKWY STE 100
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75024-4181
Country	:	US
Telephone Number	:	972-403-8184
Fax Number	:	972-403-0685

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2018
Last Update Date	:	05/29/2025

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