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
Fax: (210) 614-8314
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952483166 NPPES
Texas MEDICAID 134886407

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