Individual
AMANDA LEIGH GOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3001 BEE CAVES RD, STE 200, AUSTIN, TX 78746-5590
(512) 454-1234
(512) 472-7350
Mailing address
1988 GULF TO BAY BLVD, STE 1, CLEARWATER, FL 33765-3550
(727) 953-8090
(727) 953-8088
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA05831
TX
363AS0400X
Surgical Physician Assistant
Primary
PA22881
CA
Other
Enumeration date
10/22/2007
Last updated
06/20/2016
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