Individual
AMELIA ETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1114 LOST CREEK BLVD STE 110, AUSTIN, TX 78746-6676
(512) 707-1629
Mailing address
1114 LOST CREEK BLVD STE 110, AUSTIN, TX 78746-6676
(512) 379-0288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13726
TX
Other
Enumeration date
07/17/2020
Last updated
02/13/2021
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