Individual
AMANDA ELIZABETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
24510 NORTHWEST FWY STE 120, CYPRESS, TX 77429-2199
(346) 618-3420
(346) 618-3421
Mailing address
24510 NORTHWEST FWY STE 120, CYPRESS, TX 77429-2199
(346) 618-3420
(346) 618-3421
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA09007
TX
363AS0400X
Surgical Physician Assistant
PA09007
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA09007
TEXAS LICENSE NUMBER
TX
Enumeration date
04/10/2014
Last updated
09/11/2024
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