AMANDA NICOLE PAQUET – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1386038461
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMANDA NICOLE PAQUET
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 782344504
Phone:
Fax: (210) 916-1021
Type: Mailing
2799 W GRAND BLVD
DETROIT, MI 482022608
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-04
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 78234)
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