Most Relevant Information
Provider Data
| NPI Number: | 1003646050 |
| Provider Name: | AMANDA STEVENSON |
| Entity Type: | Individual |
| Taxonomy Code: | 3747A0650X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/05/2024 |
| Last Updated: | 08/05/2024 |
Provider Practice Location
7802 SARAH LN
BAYTOWN
TX
775219299
Practice Location Phone/Fax
| Phone: | 8324141069 |
| Fax: |
Provider Mailing Location
7802 SARAH LN
BAYTOWN
TX
775219299
Provider Mailing Phone/Fax
| Phone: | 8324141069 |
| Fax: |