Individual
AMANDA MASSENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7909 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3425
(210) 437-0884
Mailing address
5 COWBOYS WAY STE 300, FRISCO, TX 75034-2074
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
1183021
TX
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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