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Individual

AMY WALENTA RIPLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4144 N CENTRAL EXPY, SUITE 360, DALLAS, TX 75204-3140
(214) 252-3511
(214) 826-6858
Mailing address
4144 N CENTRAL EXPY, SUITE 360, DALLAS, TX 75204-3140
(214) 252-3511
(214) 826-6858

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
P2058
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT193252
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
303283104
TX
01
8EH087
BCBS
TX
01
P01358207
RR
TX
Enumeration date
06/21/2008
Last updated
01/09/2017
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