Individual
AMY ELISHA SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
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
Update your record
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