Individual
DR. AMY L. HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845
(979) 207-4000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
K8631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548794-01
—
TX
01
—
1548794-02
CSHCN
TX
01
—
160058826
RR/MEDICARE
TX
01
—
8F1198
BLUE SHIELD
TX
Enumeration date
03/25/2006
Last updated
10/25/2019
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