Individual
AMANDA COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2120 N MACARTHUR BLVD STE 100, IRVING, TX 75061-2260
(972) 438-4636
(972) 438-2077
Mailing address
2120 N MACARTHUR BLVD STE 100, IRVING, TX 75061-2260
(972) 438-4636
(972) 438-2077
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00289
TX
Other
Enumeration date
06/01/2006
Last updated
06/24/2011
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