Stewart, Amanda Elizabeth

Stewart, Amanda Elizabeth is an individual health care provider with primary practice located at 17183 Interstate 45 S Ste 110 , Shenandoah TX 77385-3313. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Stewart, Amanda Elizabeth can be contacted via phone (936) 270-3413.

Contact Information

Primary practice address
17183 Interstate 45 S Ste 110 Shenandoah TX 77385-3313
Phone: (936) 270-3413
Fax: (936) 270-3414
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA09007 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA09007 Texas

Profile Details

NPI number 1700205291
LBN Legal business name Stewart, Amanda Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2014
Last updated Nov 23rd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700205291 NPPES
Texas Other PA09007 TEXAS LICENSE NUMBER

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