Organization
AMY J .JATZLAU, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY JOANNE JATZLAU M.D. (MEDICAL DOCTOR)
(979) 542-0710
Entity
Organization
Contact information
Practice address
189 S MANSE AVE, GIDDINGS, TX 78942-3433
(979) 542-0710
(979) 542-0748
Mailing address
189 S MANSE AVE, GIDDINGS, TX 78942-3433
(979) 542-0710
(979) 542-0748
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L8576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168179301
—
TX
Enumeration date
07/30/2008
Last updated
07/30/2008
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