Amanda Katheryn Anderson, CSFA
Physician Assistant, Surgical in Katy, TX. Individual provider (NPI-1).
NPI number1972118727
StatusActive
Last updated in NPPESFeb 3, 2021
Details
- NPI
- 1972118727
- Entity type
- Individual (NPI-1)
- Name
- Amanda Katheryn Anderson
- Credential
- CSFA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Feb 3, 2021
- Last updated
- Feb 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 198003 | TX |
Practice location
18023 Wild Willow LnKaty, TX 77449-4438
Phone 936-332-5917
Mailing address
18023 Wild Willow LnKaty, TX 77449-4438
Phone 936-332-5917
Other practice locations
23920 Katy Fwy Ste 200
Katy, TX 77494-0881
Katy, TX 77494-0881
Phone 936-332-5917
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