Individual
AMANDA ISABEL LICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
608 RADAM LN, AUSTIN, TX 78745-1172
(512) 443-5988
(512) 443-5055
Mailing address
8240 N MOPAC EXPY STE 100, AUSTIN, TX 78759-8869
(512) 687-1950
(512) 407-9010
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA08169
TX
Other
Enumeration date
11/15/2012
Last updated
09/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us