Individual
AMANDA KATHERYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
18023 WILD WILLOW LN, KATY, TX 77449-4438
(936) 332-5917
Mailing address
18023 WILD WILLOW LN, KATY, TX 77449-4438
(936) 332-5917
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
198003
TX
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
02/03/2021
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