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Individual

AMY ELISHA SWEET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
8133 MESA DR, SUITE 200, AUSTIN, TX 78759-8655
(512) 815-9009
(512) 233-5161
Mailing address
8133 MESA DR, SUITE 200, AUSTIN, TX 78759-8655
(512) 815-9009
(512) 233-5161

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03779
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
196740801
TX
05
196740802
TX
05
196740803
TX
Enumeration date
06/12/2006
Last updated
11/29/2023
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