Amanda Patterson Wickson, PA-C

NPI #1710177464 in Keller, Texas

Provider Information

NPI Number
1710177464
Entity Type
Individual
Name
Amanda Patterson Wickson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jul 30, 2007
Last Updated
Oct 15, 2010

Practice Location

Address
808 KELLER PKWY
City
Keller
State
Texas
ZIP Code
76248-2405
Phone
(817) 431-2573

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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