Individual
AMY DUTKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(713) 798-4951
Mailing address
6651 MAIN ST, HOUSTON, TX 77030-2351
(713) 798-4951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S6387
TX
208000000X
Pediatrics Physician
S6387
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
S6387
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2016
Last updated
05/08/2024
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