Stark, Amy Leigh

Stark, Amy Leigh is an individual health care provider with primary practice located at 1400 Wallace Blvd , Amarillo TX 79106-1708. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Stark, Amy Leigh can be contacted via phone (806) 414-9970.

Contact Information

Primary practice address
1400 Wallace Blvd Amarillo TX 79106-1708
Phone: (806) 414-9970
Fax: (806) 351-3783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X R7906 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 58205 Michigan
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X R7906 Texas
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R7906 Texas

Profile Details

NPI number 1376988378
LBN Legal business name Stark, Amy Leigh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2013
Last updated Nov 5th, 2018 - about 6 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 1376988378 NPPES
New Mexico MEDICAID 94677794
New Mexico MEDICAID 387244201

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