Healthcare Provider Details

I. General information

NPI: 1194344747
Provider Name (Legal Business Name): AMANDA MAJOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2020
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 W HIGHWAY 290 STE 110
AUSTIN TX
78735-9000
US

IV. Provider business mailing address

5100 W HIGHWAY 290 STE 110
AUSTIN TX
78735-9000
US

V. Phone/Fax

Practice location:
  • Phone: 512-454-0406
  • Fax:
Mailing address:
  • Phone: 512-454-0406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberW3832
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: