Individual
AMY NICOLE STRATTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3647
Mailing address
18166 EMERALD FOREST DR, SAN ANTONIO, TX 78259-3620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203849
VA
207RG0100X
Gastroenterology Physician
Primary
0102203849
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102203849
LICENSE TO PRACTICE OSTEOPATHY AND SURGERY
VA
Enumeration date
06/09/2009
Last updated
03/07/2023
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