Individual
AMANDA VICTORIA SOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22420 IH 35 STE 203, KYLE, TX 78640-2656
(407) 649-6876
(407) 872-0544
Mailing address
6210 E HIGHWAY 290 STE 420, AUSTIN, TX 78723-1142
(512) 483-9569
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
S7146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419459903
—
TX
05
—
419459904
—
TX
Enumeration date
06/19/2017
Last updated
03/12/2021
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