Individual
AMANDA KAY ELIZONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
11212 STATE HIGHWAY 151, SAN ANTONIO, TX 78251-4498
(210) 703-8801
Mailing address
13827 LIANITE RUN, SAN ANTONIO, TX 78253-4075
(210) 726-3322
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
167014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20160518549
BBA
TX
Enumeration date
10/04/2016
Last updated
01/07/2026
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