Individual
AMY GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
240 MAIN ST, GROTON, MA 01450-1236
(978) 448-4379
Mailing address
11937 US HIGHWAY 271, TYLER, TX 75708-3154
(903) 877-7777
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10080619
TX
Other
Enumeration date
04/15/2022
Last updated
02/09/2026
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