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Amanda Licea, PA-C
NPI 1609110683 · on the registry since 2012
Practice
- Address
- 608 Radam Ln
Austin, TX 78745 - Phone
- (512) 443-5988
- Fax
- (512) 443-5055
- Organisation at this address
- Urology Austin Pllc
American Oncology Partners, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-09-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas