NPI age
13 years
Enumerated 2012-11-15
● Active
Type 1 · Individual
Amanda Isabel Licea, PA-C
Licea is 1 of 131 physician assistant providers in Austin and 1 of 2220 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2220 active physician assistant providers in Texas.
NPI age
13 years
↓ 2 yr below median (15 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-11Enumerated in NPPES
2012
2026
Where they practice
Practice location
608 Radam Ln
Austin, TX 787451172
Mailing address
8240 N Mopac Expy Ste 100
Austin, TX 787598869
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Austin in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.