AMANDA MICHELLE IVY

SAN MARCOS, TX
NPI1518055508
Professional NameAMANDA M. IVY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207XX0005X Orthopaedic Surgery Sports Medicine
(Licence: TX  N9880)
Enumeration Date2006-10-11
Last Update Date2011-09-22
Business Address
AMANDA MICHELLE IVY MD
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666-7598
Phone number: 512-353-6400
Mailing Address
AMANDA MICHELLE IVY MD
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX 78666-7598
Phone number: 512-353-6400
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