| Doctor Name: | AMANDA COTTRELL |
| NPI Number: | 1023055597 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.A. |
| License Number: | PA00289 |
| Business Practice Address: | 2120 N Macarthur Blvd Ste 100 Irving, TX - 750612260 |
| Business Phone Number: | 9724384636 |
| Business Fax Number: | 9724382077 |
| Mailing Address: | 2120 N Macarthur Blvd Ste 100, IRVING |
| State: | TX |
| Postal Code: | 750612260 |
| Phone Number: | 9724384636 |
| Fax Number: | 9724382077 |
| NPI Enumeration Date: | 06/01/2006 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA00289 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |