Individual
AMANDA NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
912 S CAPITAL OF TEXAS HWY STE 230, WEST LAKE HILLS, TX 78746-5242
(512) 551-9836
(512) 727-2153
Mailing address
912 S CAPITAL OF TEXAS HWY STE 230, WEST LAKE HILLS, TX 78746-5242
(512) 551-9836
(512) 727-2153
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101719
TX
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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