Individual
AMY BROOKE HUTCHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2400 W PARK ROW DR STE A, PANTEGO, TX 76013-3351
(817) 501-6108
Mailing address
2400 W PARK ROW DR STE A, PANTEGO, TX 76013-3351
(817) 501-6108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT113413
TX
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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