Coburn, Amy G

Coburn, Amy G is an sole proprietor health care provider with primary practice located at 6560 Fannin St Suite 450, Houston TX 77030-2761. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Coburn, Amy G can be contacted via phone (713) 441-8843.

Contact Information

Primary practice address
6560 Fannin St Suite 450 Houston TX 77030-2761
Phone: (713) 441-8843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H6121 Texas

Profile Details

NPI number 1487619300
LBN Legal business name Coburn, Amy G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Aug 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487619300 NPPES
Texas MEDICAID 122802505
Texas Other P00837098
Texas MEDICAID 122802506
Texas MEDICAID 122802502
Texas MEDICAID 122802507
Texas Other 0360550001
Texas Other 8CF306
Texas Other P01063009

Popular Providers