Healthcare Provider Details

I. General information

NPI: 1891548210
Provider Name (Legal Business Name): AMANDA SPINKS BYERS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17600 INTERSTATE 45 S
THE WOODLANDS TX
77384-5148
US

IV. Provider business mailing address

17600 INTERSTATE 45 S
THE WOODLANDS TX
77384-5148
US

V. Phone/Fax

Practice location:
  • Phone: 936-267-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number861355
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1217151
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: