Ivy, Amanda Michelle

Ivy, Amanda Michelle is an sole proprietor health care provider with primary practice located at 1340 Wonder World Dr Ste 4301, San Marcos TX 78666-7598. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Ivy, Amanda Michelle can be contacted via phone (512) 353-6400.

Contact Information

Primary practice address
1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7598
Phone: (512) 353-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X N9880 Texas

Profile Details

NPI number 1518055508
LBN Legal business name Ivy, Amanda Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2006
Last updated Sep 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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