Individual
DR. AMY LOUISE DEPUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5301 WILLIAM D TATE AVE, GRAPEVINE, TX 76051-7357
(817) 251-2101
(817) 421-5041
Mailing address
PO BOX 9101, COPPELL, TX 75019-9494
(972) 745-7500
(972) 745-4336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A11330
CA
207Q00000X
Family Medicine Physician
4078
OK
207Q00000X
Family Medicine Physician
Primary
P2634
TX
Other
Enumeration date
06/12/2006
Last updated
09/21/2015
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