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NPI Code Detail

MEDICARE: AMANDA VIRGINIA HARVEY

MEDICARE: AMANDA VIRGINIA HARVEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA19950TX
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1962362608
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA VIRGINIA HARVEY
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-648-1701
Fax Number :
Provider Business Practice Location Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-7201
Country : US
Telephone Number : 214-648-1701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2025
Last Update Date : 03/10/2026

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Directions to “ AMANDA VIRGINIA HARVEY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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