Individual
AMANDA LEA ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1977 BUTLER BLVD, HOUSTON, TX 77030-4101
(713) 798-6100
Mailing address
7710 BEECHNUT ST STE 100, HOUSTON, TX 77074-3106
(713) 777-7145
(713) 981-1057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
10324T
TX
152W00000X
Optometrist
Primary
10324TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10324T
TEXAS OPTOMETRY BOARD
TX
Enumeration date
08/07/2021
Last updated
09/05/2024
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