Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Isabel Licea, PA-C

Individual provider Medical Physician Assistant · NPI 1609110683

Amanda Isabel Licea, PA-C is a Physician Assistant in Austin, Texas. Graduated from Texas Tech University Health Science Center School of Medicine in 2012, 14 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
14
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

608 Radam Ln
Austin, TX 78745-1172
Phone: (512) 443-5988
Fax: (512) 443-5055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA08169 (TX)

Record details

NPI number1609110683
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2012
Last updated in NPPESSeptember 22, 2021
Certification dateSeptember 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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