AMANDA WICKSON, PA-C
Physician Assistant
Active
Individual
NPI: 1710177464
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA02797 (TX) |
Frequently Asked Questions
NPI 1710177464 is the National Provider Identifier for AMANDA WICKSON, PA-C, a Physician Assistant provider located in Keller, TX. This NPI was enumerated on July 30, 2007.
AMANDA WICKSON, PA-C practices at 808 KELLER PKWY, Keller, TX 76248.
Quick Facts
- NPI
- 1710177464
- Type
- Individual
- Enumerated
- Jul 30, 2007
- Last Updated
- Oct 15, 2010
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