Individual
AMBER DELAINE HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3021 GATEWAY DR STE 295, IRVING, TX 75063-2639
(469) 351-6136
Mailing address
3021 GATEWAY DR STE 295, IRVING, TX 75063-2639
(469) 351-6136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
26749
OK
207Q00000X
Family Medicine Physician
BP10021782
TX
207Q00000X
Family Medicine Physician
Primary
N4487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207520202
—
TX
01
—
8CW739
BLUE CROSS
TX
Enumeration date
01/30/2008
Last updated
05/15/2020
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