Individual
MISS AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5915 LA CROSSE AVENUE, BLDG 2, STE 140, AUSTIN, TX 78739-1783
(503) 300-4111
(503) 954-2122
Mailing address
5915 LA CROSSE AVENUE, BLDG 2, STE 140, AUSTIN, TX 78739-1783
(503) 300-4111
(503) 954-2122
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10131
TX
Other
Enumeration date
08/03/2015
Last updated
10/20/2023
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