Individual
MRS. AMY J JATZLAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
219 B EAST RAILROAD, GIDDINGS, TX 78942
(979) 542-0710
(979) 542-0748
Mailing address
219 B EAST RAILROAD, GIDDINGS, TX 78942
(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
—
168179303
—
TX
Enumeration date
03/22/2006
Last updated
05/15/2019
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