Individual
AMY D. MALPHRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3514 BRADFORD ST, HOUSTON, TX 77025
(615) 345-5400
(888) 468-6603
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5005
(615) 345-5400
(615) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M1222
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
M1222
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180115101
—
TX
01
—
ME130956
FL STATE LICENSE
FL
Enumeration date
12/18/2006
Last updated
12/20/2018
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