Individual
AMY REEVES BARTHOLOMEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2303
(832) 824-1000
Mailing address
1425 RUTLAND ST, HOUSTON, TX 77008-4139
(713) 839-5165
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06317
TEXAS MEDICAL BOARD
TX
Enumeration date
08/14/2007
Last updated
05/08/2013
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