Individual
DR. MAMMO AMARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3555 W WHEATLAND RD, DALLAS, TX 75237-3461
(972) 709-2580
(972) 298-6485
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
J4692
TX
207RX0202X
Medical Oncology Physician
J4692
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132756103
—
TX
05
—
132756105
—
TX
05
—
132756107
—
TX
01
—
8R1383
BLUE CROSS OF TEXAS
TX
Enumeration date
06/04/2006
Last updated
03/06/2008
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