Individual
AMY POWITZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6550 FANNIN ST, SUITE 749, HOUSTON, TX 77030-2717
(713) 441-7465
(713) 790-2996
Mailing address
6550 FANNIN ST, SUITE 749, HOUSTON, TX 77030-2717
(713) 441-7465
(713) 790-2996
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L7114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083691562
BLUE CROSS BLUE SHIELD
TX
05
—
210435801
—
TX
05
—
210435802
—
TX
01
—
8K8589
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
12/27/2005
Last updated
05/26/2010
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