Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Song, MD

Individual provider Family Medicine Physician · NPI 1962996108

Amanda Song, MD is a Family Practice in Galveston, Texas. Qualified in 2018, 8 years ago. Practices with UTMB Faculty Group Practice, a 1,074-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 University Blvd
Galveston, TX 77555
Phone: (409) 772-2166
Fax: (409) 772-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence BP10064480 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962996108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address301 University Blvd, Galveston, TX 77555-1385

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Utmb Faculty Group Practice — 1074 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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