IndividualActive
Amanda Anderson, CCP
NPI 1194439422 · Perfusionist · San Antonio, TX
Provider details
- NPI number
- 1194439422
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Female
- Sole proprietor
- No
- License
- PPF02000138 (TX)
Mailing address
14603 Huebner Rd Ste 28101
San Antonio, TX 78230-5497
Registry dates
- Enumerated
- 2023-01-11
- Last updated
- 2025-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.