Provider Demographics
NPI:1275844425
Name:COSGROVE, AMY DANIELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:DANIELLE
Last Name:COSGROVE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:7306 SW 34TH AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79121-1446
Mailing Address - Country:US
Mailing Address - Phone:806-350-8850
Mailing Address - Fax:806-350-8855
Practice Address - Street 1:7306 SW 34TH AVE STE 4
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79121-1446
Practice Address - Country:US
Practice Address - Phone:806-350-8850
Practice Address - Fax:806-350-8855
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2023-10-16
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Provider Licenses
StateLicense IDTaxonomies
TXP1450207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX550077OtherTEXAS MEDICAL BOARD