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Individual

AMY M DEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6225 COLLEYVILLE BLVD STE 100, COLLEYVILLE, TX 76034-6294
(214) 556-1300
(214) 556-8907
Mailing address
15616 LANDING CREEK LN, ROANOKE, TX 76262-3383
(817) 896-0177

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
642328
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218091101
TX
05
218091102
TX
05
218091103
TX
Enumeration date
06/19/2008
Last updated
06/10/2024
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