Dove, Amanda Mary
Dove, Amanda Mary is an sole proprietor health care provider with primary practice located at 5282 Medical Dr Suite 540, San Antonio TX 78229-6071. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as her primary health care specialty. Dove, Amanda Mary can be contacted via phone (210) 614-9300.Contact Information
Primary practice address
5282 Medical Dr Suite 540
San Antonio TX 78229-6071
Phone: (210) 614-9300
Fax: (210) 614-8314
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | G8827 | Texas |
Profile Details
NPI number | 1952483166 |
---|---|
LBN Legal business name | Dove, Amanda Mary |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 19th, 2006 |
Last updated | Jan 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1952483166 | NPPES |
Texas | MEDICAID | 134886407 |
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