Organization
ANDERSON SA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA KATHERYN ANDERSON (OWNER)
(936) 332-5917
Entity
Organization
Contact information
Practice address
18023 WILD WILLOW LN, KATY, TX 77449-4438
(936) 332-5917
Mailing address
18023 WILD WILLOW LN, KATY, TX 77449-4438
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
02/03/2021
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